ANNE-MARIE ANTONELLIS NPI 1043939507

NPI Information

  • NPI: 1043939507
  • Provider Name: ANNE-MARIE ANTONELLIS
  • Classification: Registered Nurse - 163WL0100X
  • Specialization: Lactation Consultant
  • Entity Type: Individual
  • Address: 133 WILLIAMS AVE
    HYDE PARK, MA
    ZIP 02136
  • Phone: (508) 272-6282

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NPI Details

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
1163WL0100XRegistered NurseLactation ConsultantRN2287248MASSACHUSETTSYes

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
1RN2287248MEDICAIDMASSACHUSETTS
2RN2287248OTHERMASSACHUSETTSPRIVATE 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: 11/21/2025

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