Individual
JAMIE ANASTASIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 1ST AVE, CHARLESTOWN, MA 02129-3109
(617) 952-5000
Mailing address
133 OLD ROAD TO NAC COR, CREDENTIALING DEPARTMENT SUITE 320, CONCORD, MA 01742-4169
(617) 952-5000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2308066
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2019
Last updated
05/10/2022
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