Individual provider · Type 1 NPI

Cassandra Theodoris, NP

Acute Care Nurse Practitioner · Brockton, MA

NPI number 1316411481 Active

Practice location

110 Liberty St
Brockton, MA 02301-5521

Mailing address

1440 Eastern Ave
Malden, MA 02148-6112

Other practice locations

  • 680 Centre St, Brockton, MA 02302-3308 · (508) 941-7000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XRN2312573 (MA)
Acute Care Nurse Practitioner Primary 363LA2100XRN2312573 (MA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1316411481

Cassandra Theodoris, NP's National Provider Identifier is 1316411481, issued on Jan 11, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Brockton, MA. The record was last updated on Jun 2, 2022.