Individual
ANNE MARIE MINGOLELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
160 OLD DERBY ST STE 457, HINGHAM, MA 02043-4062
(781) 837-8833
Mailing address
178 KING PHILIP ST, WEYMOUTH, MA 02190-1134
(617) 306-1406
(781) 735-5537
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
150387
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
150387
MA
363LX0106X
Occupational Health Nurse Practitioner
150387
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150387
LICENSE
MA
Enumeration date
03/27/2007
Last updated
05/05/2021
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