Doctor Name: | MEREDITH LAUREL ANAS |
NPI Number: | 1144521527 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, PMHNP-BC |
License Number: | 2258212 |
Business Practice Address: | 150 Grossman Dr Braintree, MA - 021844952 |
Business Phone Number: | 7818492275 |
Business Fax Number: | 7818492299 |
Mailing Address: | 15 Arden St, Apt #2 ALLSTON |
State: | MA |
Postal Code: | 021341501 |
Phone Number: | 3143064198 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2010 |
NPI Last Update Date: | 11/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 2258212 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |