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Cassandra Theodoris, NP — NPI 1316411481, Brockton, MA | NPI Central

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NPI 1316411481

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Cassandra Theodoris, NP

NPI 1316411481 · Acute Care Nurse Practitioner · Brockton, MA

Provider details

NPI number: 1316411481
Entity type: Individual
Primary specialty: Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: NP
Sex: Male
Sole proprietor: No
License: RN2312573 (MA)

Specialties & taxonomies

Acute Care Nurse PractitionerPrimary363LA2100XLicense RN2312573 (MA)
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner363L00000XLicense RN2312573 (MA)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

110 Liberty St

Brockton, MA 02301-5521

Phone: (508) 894-0400

Approximate (ZIP-level) locationGet directions

More MA providers

Mailing address

1440 Eastern Ave

Malden, MA 02148-6112

Additional practice locations (1)

680 Centre St
Brockton, MA 02302-3308
Phone: (508) 941-7000
Fax: (508) 941-0895

Registry dates

Enumerated: 2019-01-11
Last updated: 2022-06-02
Certified: 2022-06-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.