Individual
ANNE-MARIE ANTONELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 WILLIAMS AVE, HYDE PARK, MA 02136-3932
(508) 272-6282
Mailing address
133 WILLIAMS AVE, HYDE PARK, MA 02136-3932
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN2287248
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2287248
PRIVATE INSURACE
MA
05
—
RN2287248
—
MA
Enumeration date
08/26/2022
Last updated
08/26/2022
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