=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659297208
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ELIZABETH MARIE ANABEL
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/27/2026
-----------------------------------------------------
Last Update Date | 06/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 221 WILLOW ST
-----------------------------------------------------
City | YARMOUTH PORT
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02675-1770
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-771-3156
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 61 BROAD REACH UNIT M11B
-----------------------------------------------------
City | NORTH WEYMOUTH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02191-2229
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-436-0450
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171M00000X
-----------------------------------------------------
Taxonomy Name | Case Manager/Care Coordinator
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------