Provider Demographics
NPI:1215977665
Name:ANALORO, GAIL MARGARET (PMHNP-BC,LMHC,LSW)
Entity type:Individual
Prefix:MS
First Name:GAIL
Middle Name:MARGARET
Last Name:ANALORO
Suffix:
Gender:F
Credentials:PMHNP-BC,LMHC,LSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:583 CHESTNUT ST
Mailing Address - Street 2:SUITE 12
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01904-2600
Mailing Address - Country:US
Mailing Address - Phone:781-599-5050
Mailing Address - Fax:781-599-5051
Practice Address - Street 1:583 CHESTNUT ST
Practice Address - Street 2:SUITE 12
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01904-2600
Practice Address - Country:US
Practice Address - Phone:781-599-5050
Practice Address - Fax:781-599-5051
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA155175363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1898191Medicaid
NH30420347Medicaid
MA0004969OtherMEDICARE PTAN