MEDICARE: ANITA F. NASRA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1629925995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITA F. NASRA

Provider Business Mailing Address
First Line	:	207 SHURTLEFF ST
Second Line	:
City	:	CHELSEA
State	:	MA
Zip	:	02150-1839
Country	:	US
Telephone Number	:	617-619-6965
Fax Number	:	617-884-0506

Provider Business Practice Location Address
First Line	:	207 SHURTLEFF ST
Second Line	:
City	:	CHELSEA
State	:	MA
Zip	:	02150-1839
Country	:	US
Telephone Number	:	617-619-6965
Fax Number	:	617-884-0506

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2026
Last Update Date	:	03/14/2026

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