Provider Demographics
NPI:1508271693
Name:FARINELLA, ANGELA (NP)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:FARINELLA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 E SQUANTUM ST
Mailing Address - Street 2:GATHER HEALTH PRIMARY CARE OF MASSACHUSETTS PC
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02171-2755
Mailing Address - Country:US
Mailing Address - Phone:617-820-5968
Mailing Address - Fax:833-471-5603
Practice Address - Street 1:205 PARKINGWAY
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169
Practice Address - Country:US
Practice Address - Phone:617-820-5968
Practice Address - Fax:833-471-5603
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2276838363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily