Active NPIIndividual provider

Mary E Cancellieri, APRN, BC

Clinical Nurse Specialist, Psych/Mental Health in Acton, Massachusetts

NPI Number1962621433
Practice location
289 Great RD, Acton, MA 01720-4766
Fax
978-486-4037
Last updated
February 9, 2018

Mary E Cancellieri is a Clinical Nurse Specialist, Psych/Mental Health based in Acton, MA. Mary E Cancellieri practices in Acton, MA and has the professional credentials of APRN, BC. The NPI Number for Mary E Cancellieri is 1962621433 and holds a License No. 163573 (MA). The current practice location address for Mary E Cancellieri is 289 Great RD, Acton, MA 01720-4766 and can be reached out via phone at 978-679-1225 and via fax at 978-486-4037.

Provider Profile Details

NPI Number
1962621433
Provider Name
Mary E Cancellieri
Credential
APRN, BC
Provider Entity Type
Individual
Gender
Female
Address
289 Great RD, Acton, MA 01720-4766
Phone Number
978-679-1225
Fax Number
978-486-4037
Sole Proprietor
No
Other Names
-- Mary Ellen Cancellieri, APRN, BC (Other Name)
Provider Enumeration Date
April 24, 2007
Last Update Date
February 9, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
289 Great RD
Acton, MA 01720-4766
City
Acton
Zip
01720-4766
Phone Number
978-679-1225
Fax Number
978-486-4037
Acton, MA 01720Get directions →

Provider Business Mailing Address Details

Address
15 Lawrence St
Gardner, MA 01440-2337
City
Gardner
State
MA
Zip
01440-2337
Phone Number
978-632-0918
Fax Number
978-731-4220

License Information

License Number (1)
163573
License State (1)
MA
License Number (2)
163573
License State (2)
MA
License Number (3)
163573
License State (3)
MA
Taxonomy (3)
Clinical Nurse Specialist, Psych/Mental Health · 364SP0808X · 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 E Cancellieri, APRN, BC?

The NPI number of Mary E Cancellieri, APRN, BC is 1962621433. It was assigned on April 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Mary E Cancellieri, APRN, BC?

Mary E Cancellieri, APRN, BC is registered under the primary taxonomy Clinical Nurse Specialist, Psych/Mental Health (code 364SP0808X), licensed in MA under license number 163573.

Where does Mary E Cancellieri, APRN, BC practice?

The practice location is 289 Great RD, Acton, MA 01720-4766. The office can be reached at 978-679-1225 (phone) or 978-486-4037 (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 1962621433 directly on the NPPES registry website.

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