IndividualActive
Andrea Yegiazaryan, MS, BSN, RN, CPNP-PC
NPI 1316329402 · Pediatric Nurse Practitioner · Waltham, MA
Provider details
- NPI number
- 1316329402
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MS, BSN, RN, CPNP-PC
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN269529 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9 Hope Ave
Waltham, MA 02453-2741
Phone: (781) 216-1500
Approximate (ZIP-level) locationGet directions
Mailing address
300 Longwood Ave
Boston, MA 02115-5737
Additional practice locations (1)
- 300 Longwood AveBoston, MA 02115-5724Phone: (617) 355-6000
Registry dates
- Enumerated
- 2015-06-24
- Last updated
- 2025-10-13
- Certified
- 2025-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.