Individual
ANNA ATHANASOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
105 MILLBURY ST, AUBURN, MA 01501-3205
(508) 832-9691
Mailing address
9 BOWLEY AVE, LYNN, MA 01905-1802
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2381981
MA
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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