Provider Demographics
NPI:1033434063
Name:ANDERSON, NANCY NADEAU (BS IN EDUCATION)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:NADEAU
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:BS IN EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 BEDFORD ST
Mailing Address - Street 2:ELIOT COMMUNITY HUMAN SERVICES
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420
Mailing Address - Country:US
Mailing Address - Phone:781-395-0625
Mailing Address - Fax:
Practice Address - Street 1:10 CABOT RD
Practice Address - Street 2:ELIOT COMMUNITY SERVICE AGENCY
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155
Practice Address - Country:US
Practice Address - Phone:781-395-0625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist