Petrangelo, Lindsey Diane

Petrangelo, Lindsey Diane is an individual health care provider with primary practice located at 160 Hazard Ave Ste 103 , Enfield CT 06082-4520. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Petrangelo, Lindsey Diane can be contacted via phone (860) 962-6600.

Contact Information

Primary practice address
160 Hazard Ave Ste 103 Enfield CT 06082-4520
Phone: (860) 962-6600
Fax: (860) 962-6866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2273018 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10643 Connecticut

Profile Details

NPI number 1023614286
LBN Legal business name Petrangelo, Lindsey Diane
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2020
Last updated Jun 27th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023614286 NPPES
Massachusetts MEDICAID RN2273018

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