Healthcare Provider Details

I. General information

NPI: 1952498354
Provider Name (Legal Business Name): ANITA D FREEMAN RNCS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 02/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 GREEN STREET
NEWBURY MA
01951
US

IV. Provider business mailing address

28 GREEN STREET
NEWBURY MA
01951
US

V. Phone/Fax

Practice location:
  • Phone: 978-499-7622
  • Fax: 978-499-8622
Mailing address:
  • Phone: 978-499-7622
  • Fax: 978-499-8622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License Number88847PC
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number88847PC
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License Number88847
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: