Active NPIIndividual provider

Mary Ellen Coronado

Nurse Practitioner in Sudbury, Massachusetts

NPI Number1245290725
Practice location
490 Boston Post RD Ste 2001, Sudbury, MA 01776-3392
Fax
—
Last updated
October 10, 2024

Mary Ellen Coronado is a Nurse Practitioner based in Sudbury, MA. Mary Ellen Coronado practices in Sudbury, MA. The NPI Number for Mary Ellen Coronado is 1245290725 and holds a License No. 156838 (MA). The current practice location address for Mary Ellen Coronado is 490 Boston Post RD Ste 2001, Sudbury, MA 01776-3392 and can be reached out via phone at 785-796-0189.

Provider Profile Details

NPI Number
1245290725
Provider Name
Mary Ellen Coronado
Provider Entity Type
Individual
Gender
Female
Address
490 Boston Post RD Ste 2001, Sudbury, MA 01776-3392
Phone Number
785-796-0189
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Other Names
-- Mary Ellen Riccardi, NP (Former Name)
Provider Enumeration Date
March 27, 2006
Last Update Date
October 10, 2024
Certification Date
October 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
490 Boston Post RD Ste 2001
Sudbury, MA 01776-3392
Zip
01776-3392
Phone Number
785-796-0189
Sudbury, MA 01776Get directions →

Provider Business Mailing Address Details

Address
490 Boston Post RD Ste 2001
Sudbury, MA 01776-3392
City
Sudbury
State
MA
Zip
01776-3392
Phone Number
789-579-6018

License Information

License Number
156838
License State
MA
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary Ellen Coronado?

The NPI number of Mary Ellen Coronado is 1245290725. It was assigned on March 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Mary Ellen Coronado?

Mary Ellen Coronado is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number 156838.

Where does Mary Ellen Coronado practice?

The practice location is 490 Boston Post RD Ste 2001, Sudbury, MA 01776-3392. The office can be reached at 785-796-0189 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245290725 directly on the NPPES registry website.

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