Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALIDA THEODORE
ActiveMALIDA THEODORE is a Community Health Worker healthcare provider located in BROCKTON, Massachusetts. NPI 1497201271 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · BROCKTON, MA
Registration Details
- NPI Number
- 1497201271
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2016 (9.9403507694048 yrs)
- Last Updated
- Aug 5, 2024
Practice Information
- Address
-
57 OSCAR AVEBROCKTON, MA, 023021047Browse MA providers · Browse ZIP 02302
- Phone
- 6172836211
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in BROCKTON, MA
| Name | Credential | NPI |
|---|---|---|
| DR. LAYNE LEA SASVILLE I | DPT | 1265608897 |
| STEPHANIE GOMES VAN WINKLE | — | 1588937155 |
| KELSIE E WALKER | — | 1932462827 |
| MR. ANDREW JOHN BICKFORD | — | 1861824179 |
| STEPHANIE JOSEPH | — | 1588027635 |
| MR. WILLIAM GIANNOULOUDIS | — | 1568818474 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.