Provider Demographics
NPI:1952498354
Name:FREEMAN, ANITA D (RNCS)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:D
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:RNCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 GREEN STREET
Mailing Address - Street 2:
Mailing Address - City:NEWBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01951
Mailing Address - Country:US
Mailing Address - Phone:978-499-7622
Mailing Address - Fax:978-499-8622
Practice Address - Street 1:28 GREEN STREET
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:MA
Practice Address - Zip Code:01951
Practice Address - Country:US
Practice Address - Phone:978-499-7622
Practice Address - Fax:978-499-8622
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA88847PC364SP0807X, 364SP0809X
MA88847103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)
No364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
NS0102-01Medicare UPIN
S5127Medicare UPIN
NYNS0102Medicare PIN