Healthcare Provider Details

I. General information

NPI: 1215977665
Provider Name (Legal Business Name): GAIL MARGARET ANALORO PMHNP-BC,LMHC,LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 09/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

583 CHESTNUT ST SUITE 12
LYNN MA
01904-2600
US

IV. Provider business mailing address

583 CHESTNUT ST SUITE 12
LYNN MA
01904-2600
US

V. Phone/Fax

Practice location:
  • Phone: 781-599-5050
  • Fax: 781-599-5051
Mailing address:
  • Phone: 781-599-5050
  • Fax: 781-599-5051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number155175
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: