Healthcare Provider Details

I. General information

NPI: 1437361086
Provider Name (Legal Business Name): MARGARET PAPANASTASSIOU N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 05/12/2020
Certification Date: 05/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 ERDMAN WAY STE 101
LEOMINSTER MA
01453-1805
US

IV. Provider business mailing address

79 ERDMAN WAY STE 101
LEOMINSTER MA
01453-1805
US

V. Phone/Fax

Practice location:
  • Phone: 978-537-4805
  • Fax: 987-537-2185
Mailing address:
  • Phone: 978-537-4805
  • Fax: 987-537-2185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number149680
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: