Michelle Anderson, MSN, RN, CPNP-AC
Individual provider Active NPI Pediatric Nurse Practitioner · Boston, MA
NPI 1699288787 · NPPES record last updated Nov 10, 2017
Key facts
- NPI
- 1699288787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- RN2286142 (MA)
- Practice address
- 333 Longwood Ave Ste 650
Boston, MA 02115-5711 - Phone
- (617) 355-8202
- NPI assigned
- Nov 10, 2017
- 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
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2286142 | MD | MD | Registered Nurse |
| RN2286142 | MA | MD | Pediatric Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2286142 | MD | |
| Pediatric Nurse Practitioner | 363LP0200X | RN2286142 | MA | Yes |
Addresses
Primary practice location
333 Longwood Ave Ste 650
Boston, MA 02115-5711
Mailing address
333 Longwood Ave Ste 650
Boston, MA 02115-5711
Phone (617) 355-8202
Other providers in Boston, MA
- Mary E. Anderson
- Matthew Peter Anderson
- Megan Anderson
- Megan E Anderson
- Michael Anderson
- Monique Rochelle Anderson
- Nathan Putnam Anderson
- Paul J Anderson
- Philip D Anderson
- Rachel Ellen Poritsky Anderson
All providers in Boston, MA · Pediatric Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2017. 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.