Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eleni Maria Koudanis, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1700661253

Eleni Maria Koudanis, APRN is a Nurse Practitioner in Waltham, Massachusetts. Qualified in 2025, 1 year ago. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2023
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

564 Main St Ste 100
Waltham, MA 02452-5559
Phone: (833) 287-7223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2383782 (MA)

Record details

NPI number1700661253
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 31, 2023
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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