ELENI MARIA KOUDANIS APRN NPI 1700661253

NPI Information

  • NPI: 1700661253
  • Provider Name: ELENI MARIA KOUDANIS, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 564 MAIN ST SUITE 100
    WALTHAM, MA
    ZIP 02452
  • Phone: (833) 287-7223

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NPI Details

Eleni Maria Koudanis, APRN is a psychiatric/mental health nurse practitioner in Waltham, MA. Eleni Maria Koudanis, APRN NPI is 1700661253. 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:

564 MAIN ST SUITE 100
WALTHAM, MA
ZIP 02452-559
Phone: (833) 287-7223

The enumeration date for this NPI number is 8/31/2023 and was last updated on 9/26/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthRN2383782MASSACHUSETTSYes

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: 11/21/2025

NPI Synchronization or Removal

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