Antonellis, Yana

Antonellis, Yana is an individual health care provider with primary practice located at 545A Centre St , Jamaica Plain MA 02130-2061. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Antonellis, Yana can be contacted via phone (617) 522-5464.

Contact Information

Primary practice address
545A Centre St Jamaica Plain MA 02130-2061
Phone: (617) 522-5464
Fax: (617) 524-2966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 233109 Massachusetts

Profile Details

NPI number 1497744981
LBN Legal business name Antonellis, Yana
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated May 14th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497744981 NPPES
Massachusetts MEDICAID 0322580

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