Platinum Wellness,pllc
Nurse Practitioner, Adult Health in Canton, Massachusetts
1164396172- Practice location
- 715B Washington St, Canton, MA 02021-3037
- Phone
- 617-233-4400
- Fax
- 617-233-4400
- Last updated
- October 2, 2025
Platinum Wellness,pllc is a healthcare organization based in Canton, MA. Platinum Wellness,pllc practices in Canton, MA. The NPI Number for Platinum Wellness,pllc is 1164396172. The current practice location address for Platinum Wellness,pllc is 715B Washington St, Canton, MA 02021-3037 and can be reached out via phone at 617-233-4400 and via fax at 617-233-4400.
Provider Profile Details
- NPI Number
- 1164396172
- Provider Name
- Platinum Wellness,pllc
- Provider Entity Type
- Organization
- Address
- 715B Washington St, Canton, MA 02021-3037
- Phone Number
- 617-233-4400
- Fax Number
- 617-233-4400
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Organization Subpart
- Yes
- Parent Organization
- Platinum Wellness, PLLC
- Authorized Official
- Analesa Baraka, NP · Owner · 617-233-4400
- Provider Enumeration Date
- October 2, 2025
- Last Update Date
- October 2, 2025
- Certification Date
- September 16, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 715B Washington St
Canton, MA 02021-3037 - City
- Canton
- State
- Massachusetts
- Zip
- 02021-3037
- Phone Number
- 617-233-4400
- Fax Number
- 617-233-4400
Provider Business Mailing Address Details
- Address
- 75 N Main St # 512
Randolph, MA 02368-4605 - City
- Randolph
- State
- MA
- Zip
- 02368-4605
- Phone Number
- 617-233-4400
- Fax Number
- 617-233-4400
License Information
- Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Platinum Wellness,pllc?
The NPI number of Platinum Wellness,pllc is 1164396172. It was assigned on October 2, 2025 and is currently active in the NPPES registry.
What is the specialty of Platinum Wellness,pllc?
Platinum Wellness,pllc is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X).
Where does Platinum Wellness,pllc practice?
The practice location is 715B Washington St, Canton, MA 02021-3037. The office can be reached at 617-233-4400 (phone) or 617-233-4400 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164396172 directly on the NPPES registry website.