# PLATINUM WELLNESS,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PLATINUM WELLNESS, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164396172
- **Legal business name:** PLATINUM WELLNESS, PLLC
- **Authorized official:** ANALESA BARAKA NP (OWNER)
- **Authorized official phone:** (617) 233-4400

## Contact information

- **Practice address:** 715B WASHINGTON ST, CANTON, MA 02021-3037
- **Practice address phone:** (617) 233-4400
- **Practice address fax:** (617) 233-4400
- **Mailing address:** 75 N MAIN ST \# 512, RANDOLPH, MA 02368-4605
- **Mailing address phone:** (617) 233-4400
- **Mailing address fax:** (617) 233-4400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2025
- **Last updated:** 10/02/2025