Individual
MS. MARGARET A MASTRANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
205310
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0344079
MEDICAID - PCC
MA
05
—
0344079
—
MA
01
—
043202198
CBA
—
01
—
043202198007
TRICARE
—
01
—
205310
CONNECTICARE OF MA
MA
01
—
NP2188
BLUE CROSS/BLUE SHIELD
MA
01
—
NP2188
HMO BLUE
—
Enumeration date
07/21/2005
Last updated
10/31/2012
Update your record
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