Active NPIIndividual provider

Carmen Antonellis

Nurse Practitioner in Malden, Massachusetts

NPI Number1295151058
Practice location
578 Main St, Malden, MA 02148-3900
Fax
781-321-1863
Last updated
March 17, 2014

Carmen Antonellis is a Nurse Practitioner based in Malden, MA. Carmen Antonellis practices in Malden, MA. The NPI Number for Carmen Antonellis is 1295151058 and holds a License No. 181556 (MA). The current practice location address for Carmen Antonellis is 578 Main St, Malden, MA 02148-3900 and can be reached out via phone at 781-321-3422 and via fax at 781-321-1863.

Provider Profile Details

NPI Number
1295151058
Provider Name
Carmen Antonellis
Provider Entity Type
Individual
Gender
Female
Address
578 Main St, Malden, MA 02148-3900
Phone Number
781-321-3422
Fax Number
781-321-1863
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
March 17, 2014
Last Update Date
March 17, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
578 Main St
Malden, MA 02148-3900
City
Malden
Zip
02148-3900
Phone Number
781-321-3422
Fax Number
781-321-1863
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
578 Main St
Malden, MA 02148-3900
City
Malden
State
MA
Zip
02148-3900
Phone Number
781-321-3422
Fax Number
781-321-1863

License Information

License Number
181556
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 Carmen Antonellis?

The NPI number of Carmen Antonellis is 1295151058. It was assigned on March 17, 2014 and is currently active in the NPPES registry.

What is the specialty of Carmen Antonellis?

Carmen Antonellis is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number 181556.

Where does Carmen Antonellis practice?

The practice location is 578 Main St, Malden, MA 02148-3900. The office can be reached at 781-321-3422 (phone) or 781-321-1863 (fax).

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 1295151058 directly on the NPPES registry website.

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