Provider Demographics
NPI:1689817728
Name:CYNTHIA A. VELLA N.P. LLC
Entity Type:Organization
Organization Name:CYNTHIA A. VELLA N.P. LLC
Other - Org Name:NEW ENGLAND MOTHERS FIRST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:VELLA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:508-566-1155
Mailing Address - Street 1:PO BOX 483
Mailing Address - Street 2:28 OCEAN AVENUE
Mailing Address - City:CATAUMET
Mailing Address - State:MA
Mailing Address - Zip Code:02534-0483
Mailing Address - Country:US
Mailing Address - Phone:508-566-1155
Mailing Address - Fax:
Practice Address - Street 1:22 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:WEST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02379-1506
Practice Address - Country:US
Practice Address - Phone:508-566-1155
Practice Address - Fax:508-563-3602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-18
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA169978363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAA145287OtherHARVARD PILGRIM
MAM19209OtherBCBS