Provider Demographics
NPI:1326845967
Name:LIMA, ELENI (NP)
Entity type:Individual
Prefix:
First Name:ELENI
Middle Name:
Last Name:LIMA
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:ELENI
Other - Middle Name:
Other - Last Name:PETROMELIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:20 BALDWIN ST
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-1423
Mailing Address - Country:US
Mailing Address - Phone:978-317-7423
Mailing Address - Fax:
Practice Address - Street 1:400 HIGHLAND AVE STE 6
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-1783
Practice Address - Country:US
Practice Address - Phone:978-741-4133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-01
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2333807363LF0000X, 163WU0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WU0100XNursing Service ProvidersRegistered NurseUrology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily