Jessica Yesenia Anzueto, BA
Individual provider Active NPI Case Manager/Care Coordinator · Malden, MA
NPI 1649449752 · NPPES record last updated Feb 22, 2008
Key facts
- NPI
- 1649449752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 11 Meridian Pkwy
Malden, MA 02148-6817 - Phone
- (617) 642-6923
- NPI assigned
- Feb 22, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
11 Meridian Pkwy
Malden, MA 02148-6817
Mailing address
11 Meridian Pkwy
Malden, MA 02148-6817
Phone (617) 642-6923
Other providers in Malden, MA
- Nico O Andrade
- Keith Paul Andrews
- Taylor L Andromidas
- Gladys Angel Miranda
- Carmen Antonellis
- James Ao
- Apex Adult Foster Care LLC
- Jessica Anne Appelman
- Arbour Counseling Services
- Arc Care at Home
All providers in Malden, MA · Case Manager/Care Coordinator in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.