Healthcare Provider Details

I. General information

NPI: 1932028958
Provider Name (Legal Business Name): ELIZABETH BIDDLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 WASHINGTON ST STE 310
NEWTON MA
02458-1626
US

IV. Provider business mailing address

101 WESTERN AVE APT 57
CAMBRIDGE MA
02139-3712
US

V. Phone/Fax

Practice location:
  • Phone: 866-542-2865
  • Fax:
Mailing address:
  • Phone: 412-916-0171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2352779
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: