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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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 1679270417 NPPES
Massachusetts Other RN2356171 RN LICENSE NUMBER

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