MRS. STEPHANIE ATHANASOULAS MOURTZINOS NP NPI 1093868507

NPI Information

NPI: 1093868507
Provider Name: MRS. STEPHANIE ATHANASOULAS MOURTZINOS, NP
Classification: Registered Nurse - 163WD0400X
Entity Type: Individual

Specialization: Diabetes Educator

Address:
LCHC
17 WARREN STREET, 2ND FLOOR
LOWELL, MA
ZIP 01852
Phone: (978) 322-8500
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MRS. Stephanie Athanasoulas Mourtzinos, NP is a diabetes educator registered nurse in Lowell, MA. MRS. Stephanie Athanasoulas Mourtzinos, NP NPI is 1093868507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

LCHC
17 WARREN STREET, 2ND FLOOR
LOWELL, MA
ZIP 01852
Phone: (978) 322-8500

The enumeration date for this NPI number is 1/19/2007 and was last updated on 12/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	230081	MASSACHUSETTS	No
2	163WD0400X	Registered Nurse	Diabetes Educator	230081	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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