Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | RN2284074 | MA |
N | 363LP2300X | Nurse Practitioner - Primary Care | RN2284074 | MA |
NPI | 1033698386 |
---|---|
Provider Name | Angelina Franceschelli |
First Address | Boston, MA 02114-2621 |
Second Address | Boston, MA 02114-2621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2018 |
Last Update Date | 13/03/2019 |