NPI 1336014000
Eleanor Health Professional
Practice location
- Address
- 300 Interstate Corporate Ctr Ofc 319, Williston, VT 05495-7626
- Phone
- (781) 487-1107
- Mailing address
- PO Box 386, Portsmouth, NH 03802-0386
Authorised official
- Name
- Nzinga Ajabu Harrison
- Title
- Owner
- Phone
- (617) 419-0858
Registered specialties (4)
Addiction Psychiatry Physician
Primary
Addiction (Substance Use Disorder) Counselor
Addiction Medicine (Family Medicine) Physician
Psychiatry Physician
Registry record
- NPI
- 1336014000
- Entity type
- Organization
- NPI issued
- 10 Oct 2025
- Record last updated
- 10 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.