Provider Demographics
NPI:1720186968
Name:TONELLI, MARGARET J (NP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:J
Last Name:TONELLI
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 1:70-71 N PARISH RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-2914
Mailing Address - Country:US
Mailing Address - Phone:978-722-8391
Mailing Address - Fax:978-681-5209
Practice Address - Street 1:70-71 N PARISH RD
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-2914
Practice Address - Country:US
Practice Address - Phone:978-722-8391
Practice Address - Fax:978-681-5209
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA133997363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP29621Medicare UPIN
MANP3192Medicare ID - Type Unspecified