LISA M ANTONELLI APRN NPI 1962577361

NPI Information

NPI: 1962577361
Provider Name: LISA M ANTONELLI, APRN
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
266 RINDGE AVE # B
CAMBRIDGE, MA
ZIP 02140
Phone: (617) 665-3340
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Lisa M Antonelli, APRN is a primary care nurse practitioner in Cambridge, MA. Lisa M Antonelli, APRN NPI is 1962577361. 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:

266 RINDGE AVE # B
CAMBRIDGE, MA
ZIP 02140-202
Phone: (617) 665-3340

The enumeration date for this NPI number is 11/21/2006 and was last updated on 11/15/2007.

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	363LP2300X	Nurse Practitioner	Primary Care	87024	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	S68901	MEDICARE UPIN
2	UX9788	MEDICARE PIN	MASSACHUSETTS
3	NP1476	OTHER	MASSACHUSETTS	BCBS MA

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: 4/28/2024

NPI Synchronization or Removal

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