Provider Demographics
NPI:1336457191
Name:COULSTRING, ANNA MARIE (ACNP-BC, PMHNP-BC,RN)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:MARIE
Last Name:COULSTRING
Suffix:
Gender:F
Credentials:ACNP-BC, PMHNP-BC,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:884 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-1530
Mailing Address - Country:US
Mailing Address - Phone:781-812-1643
Mailing Address - Fax:781-803-3017
Practice Address - Street 1:884 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189-1530
Practice Address - Country:US
Practice Address - Phone:781-812-1643
Practice Address - Fax:781-803-3017
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2259098363LA2100X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care