Individual
MS. GEORGIA AGGANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
133 LITTLETON RD STE 101, WESTFORD, MA 01886-3198
(978) 577-0437
(978) 692-9904
Mailing address
133 LITTLETON RD STE 101, WESTFORD, MA 01886-3198
(978) 577-0437
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
251067
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251067
STATE NP LICENSE
MA
01
—
MA06246721
CONTROLLED SUBSTANCE LICE
MA
Enumeration date
03/16/2007
Last updated
05/23/2018
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