Provider Demographics
NPI:1285062612
Name:MARTINELLI, MARIANGELA MARAVALHAS (CRNP, FNP-BC, NP-C)
Entity type:Individual
Prefix:
First Name:MARIANGELA
Middle Name:MARAVALHAS
Last Name:MARTINELLI
Suffix:
Gender:F
Credentials:CRNP, FNP-BC, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 WASHINGTON HEIGHTS MED CTR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5666
Mailing Address - Country:US
Mailing Address - Phone:410-848-3858
Mailing Address - Fax:
Practice Address - Street 1:224 WASHINGTON HEIGHTS MED CTR
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5666
Practice Address - Country:US
Practice Address - Phone:410-848-3858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-22
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR177771363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily