Provider Demographics
NPI:1568462448
Name:MASTRANGELO, MARGARET A (FNP)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:A
Last Name:MASTRANGELO
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:260 NEW LUDLOW RD
Mailing Address - Street 2:WESTERN MASS PHYSICIAN ASSOCIATES, INC.
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020-4324
Mailing Address - Country:US
Mailing Address - Phone:413-533-3470
Mailing Address - Fax:413-533-6859
Practice Address - Street 1:262 NEW LUDLOW RD
Practice Address - Street 2:CHICOPEE MEDICAL CENTER
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-4324
Practice Address - Country:US
Practice Address - Phone:413-552-3250
Practice Address - Fax:413-552-3255
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA205310363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0344079Medicaid
MA205310OtherCONNECTICARE OF MA
MANP2188OtherBLUE CROSS/BLUE SHIELD
043202198007OtherTRICARE
NP2188OtherHMO BLUE
043202198OtherCBA
MA0344079OtherMEDICAID - PCC
043202198OtherBEECH STREET
043202198OtherCBA
043202198OtherBEECH STREET