Etedali, Mina R
Etedali, Mina R is an individual health care provider with primary practice located at 1400 Vfw Pkwy , West Roxbury MA 02132-4927. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. Etedali, Mina R can be contacted via phone (617) 323-7700.Contact Information
Primary practice address
1400 Vfw Pkwy
West Roxbury MA 02132-4927
Phone: (617) 323-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Medical-Surgical | 163WM0705X | 2356171 | Massachusetts |
Profile Details
| NPI number | 1679270417 |
|---|---|
| LBN Legal business name | Etedali, Mina R |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2023 |
| Last updated | Feb 13th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679270417 | NPPES |
| Massachusetts | Other | RN2356171 | RN LICENSE NUMBER |
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