Provider Demographics
NPI:1639968076
Name:KANTZIOS, ANNA NIKOLE
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:NIKOLE
Last Name:KANTZIOS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 ARCHER LN
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-5701
Mailing Address - Country:US
Mailing Address - Phone:609-602-7144
Mailing Address - Fax:
Practice Address - Street 1:5 ARCHER LN
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-5701
Practice Address - Country:US
Practice Address - Phone:609-602-7144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula