Anew Life LLC
Nurse Practitioner, Psych/Mental Health in Brockton, Massachusetts
1265173488- Practice location
- 59 Fletcher St, Brockton, MA 02302-2015
- Phone
- 508-991-9024
- Fax
- —
- Last updated
- July 15, 2026
Anew Life LLC is a healthcare organization based in Brockton, MA. Anew Life LLC practices in Brockton, MA. The NPI Number for Anew Life LLC is 1265173488. The current practice location address for Anew Life LLC is 59 Fletcher St, Brockton, MA 02302-2015 and can be reached out via phone at 508-991-9024.
Provider Profile Details
- NPI Number
- 1265173488
- Provider Name
- Anew Life LLC
- Provider Entity Type
- Organization
- Address
- 59 Fletcher St, Brockton, MA 02302-2015
- Phone Number
- 508-991-9024
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Nadine Rousseau, CNP · Ceo · 857-251-1722
- Provider Enumeration Date
- April 3, 2022
- Last Update Date
- July 15, 2026
- Certification Date
- July 15, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 59 Fletcher St
Brockton, MA 02302-2015 - City
- Brockton
- State
- Massachusetts
- Zip
- 02302-2015
- Phone Number
- 508-991-9024
Provider Business Mailing Address Details
- Address
- 59 Fletcher St
Brockton, MA 02302-2015 - City
- Brockton
- State
- MA
- Zip
- 02302-2015
- Phone Number
- 508-991-9024
License Information
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Anew Life LLC?
The NPI number of Anew Life LLC is 1265173488. It was assigned on April 3, 2022 and is currently active in the NPPES registry.
What is the specialty of Anew Life LLC?
Anew Life LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Anew Life LLC practice?
The practice location is 59 Fletcher St, Brockton, MA 02302-2015. The office can be reached at 508-991-9024 (phone).
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 1265173488 directly on the NPPES registry website.