Provider Demographics
NPI:1083342034
Name:ENDLESS POSSIBILITIES PLLC
Entity Type:Organization
Organization Name:ENDLESS POSSIBILITIES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:MAY HEATER
Authorized Official - Last Name:TOURJEE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:617-675-5694
Mailing Address - Street 1:61 ALBION ST
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-2801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:61 ALBION ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-2801
Practice Address - Country:US
Practice Address - Phone:617-675-5694
Practice Address - Fax:617-812-0143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Multi-Specialty