Provider Demographics
NPI:1497098453
Name:HODAS, ADRIA (RN,C FNP)
Entity Type:Individual
Prefix:
First Name:ADRIA
Middle Name:
Last Name:HODAS
Suffix:
Gender:F
Credentials:RN,C FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 N BEACON ST
Mailing Address - Street 2:PERKINS SCHOOL FOR THE BLIND
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-2751
Mailing Address - Country:US
Mailing Address - Phone:617-972-7585
Mailing Address - Fax:617-972-7345
Practice Address - Street 1:175 N BEACON ST
Practice Address - Street 2:PERKINS SCHOOL FOR THE BLIND
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-2751
Practice Address - Country:US
Practice Address - Phone:617-972-7585
Practice Address - Fax:617-972-7345
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA139335163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool