Healthcare Provider Details

I. General information

NPI: 1275466567
Provider Name (Legal Business Name): ANNA SLOAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 LEAD MINE RD
LEVERETT MA
01054-9524
US

IV. Provider business mailing address

10 LEAD MINE RD
LEVERETT MA
01054-9524
US

V. Phone/Fax

Practice location:
  • Phone: 413-584-3624
  • Fax: 413-288-7142
Mailing address:
  • Phone: 413-584-3624
  • Fax: 413-288-7142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANNA SLOAN
Title or Position: PSYCHIATRIC NURSE PRACTITIONER
Credential: PMHNP-BC
Phone: 413-584-3624