Active NPIIndividual provider

Eleni M Koudanis, APRN

Nurse Practitioner, Psych/Mental Health in Waltham, Massachusetts

NPI Number1700661253
Practice location
564 Main St Suite 100, Waltham, MA 02452-5559
Fax
—
Last updated
September 26, 2025

Eleni Maria Koudanis is a Nurse Practitioner, Psych/Mental Health based in Waltham, MA. Eleni Maria Koudanis practices in Waltham, MA and has the professional credentials of APRN. The NPI Number for Eleni Maria Koudanis is 1700661253 and holds a License No. RN2383782 (MA). The current practice location address for Eleni Maria Koudanis is 564 Main St Suite 100, Waltham, MA 02452-5559 and can be reached out via phone at 833-287-7223.

Provider Profile Details

NPI Number
1700661253
Provider Name
Eleni Maria Koudanis
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
564 Main St Suite 100, Waltham, MA 02452-5559
Phone Number
833-287-7223
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2023
Last Update Date
September 26, 2025
Certification Date
September 26, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
564 Main St Suite 100
Waltham, MA 02452-5559
Zip
02452-5559
Phone Number
833-287-7223
Waltham, MA 02452Get directions →

Provider Business Mailing Address Details

Address
564 Main St Suite 100
Waltham, MA 02452-5552
City
Waltham
State
MA
Zip
02452-5552

License Information

License Number
RN2383782
License State
MA
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Eleni M Koudanis, APRN?

The NPI number of Eleni M Koudanis, APRN is 1700661253. It was assigned on August 31, 2023 and is currently active in the NPPES registry.

What is the specialty of Eleni M Koudanis, APRN?

Eleni M Koudanis, APRN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2383782.

Where does Eleni M Koudanis, APRN practice?

The practice location is 564 Main St Suite 100, Waltham, MA 02452-5559. The office can be reached at 833-287-7223 (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 1700661253 directly on the NPPES registry website.

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