ANNE-MARIE ANTONELLIS NPI 1043939507

NPI Information

NPI: 1043939507
Provider Name: ANNE-MARIE ANTONELLIS
Classification: Registered Nurse - 163WL0100X
Entity Type: Individual

Specialization: Lactation Consultant

Address:
133 WILLIAMS AVE
HYDE PARK, MA
ZIP 02136
Phone: (508) 272-6282
Get Directions

Anne-marie Antonellis is a lactation consultant registered nurse in Hyde Park, MA. Anne-marie Antonellis NPI is 1043939507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

133 WILLIAMS AVE
HYDE PARK, MA
ZIP 02136-932
Phone: (508) 272-6282

The enumeration date for this NPI number is 8/26/2022 and was last updated on 8/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WL0100X	Registered Nurse	Lactation Consultant	RN2287248	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RN2287248	MEDICAID	MASSACHUSETTS
2	RN2287248	OTHER	MASSACHUSETTS	PRIVATE INSURACE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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