Provider Demographics
NPI:1023816212
Name:ASARIDIS, ANNA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:ASARIDIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CHRISTINA DR
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-4045
Mailing Address - Country:US
Mailing Address - Phone:508-641-3312
Mailing Address - Fax:
Practice Address - Street 1:20 CHRISTINA DR
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-4045
Practice Address - Country:US
Practice Address - Phone:508-641-3312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2351533163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse