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Lisa M Antonelli, APRN
Primary Care Nurse Practitioner in Cambridge, Massachusetts
NPI 1962577361

Lisa M Antonelli is a Primary Care Nurse Practitioner based in Cambridge, MA and is specialized in Primary Care. Lisa M Antonelli practices in Cambridge, MA and has the professional credentials of APRN. The NPI Number for Lisa M Antonelli is 1962577361 and holds a License No. 87024 (Massachusetts).

The current practice location address for Lisa M Antonelli is 266 Rindge Ave # B, Cambridge, MA and can be reached out via phone at 617-665-3340.

Location: 266 Rindge Ave # B, Cambridge, MA, 02140-3202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962577361
Provider Name
Lisa M Antonelli
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
266 Rindge Ave # B, Cambridge, MA, 02140-3202
Phone Number
617-665-3340
Fax Number
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP1476 01 MA BCBS MA
institution
Provider Business Practice Location Address Details
Address
266 Rindge Ave # B
City
Cambridge
State
Massachusetts
Zip
02140-3202
Phone Number
617-665-3340
Fax Number
person
Provider Business Mailing Address Details
Address
266 Rindge Ave # B
City
Cambridge
State
Massachusetts
Zip
02140-3202
Phone Number
617-665-3340
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
87024 (Massachusetts)
Definition
Definition to come...
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