Provider Demographics
NPI:1568560985
Name:MENDELSOHN, ANN C (APRN)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:C
Last Name:MENDELSOHN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01951-1721
Mailing Address - Country:US
Mailing Address - Phone:978-499-2103
Mailing Address - Fax:978-499-2177
Practice Address - Street 1:28 GREEN ST
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:MA
Practice Address - Zip Code:01951-1721
Practice Address - Country:US
Practice Address - Phone:978-499-2103
Practice Address - Fax:978-499-2177
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA162360163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health