Individual
ANNA M DE ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 COLUMBIA RD, DORCHESTER, MA 02125-2322
(617) 287-8000
Mailing address
500 COLUMBIA RD, DORCHESTER, MA 02125-2322
(617) 287-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
274232
MA
163WG0000X
General Practice Registered Nurse
RN274232
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
274232
MA
Other
Enumeration date
06/15/2007
Last updated
04/03/2025
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