Individual provider · Type 1 NPI
Jennifer Massarelli, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · Ann Arbor, MI
NPI number
1093057580
Active
Practice location
2215 Fuller Rd
Ann Arbor, MI 48105-2303
Mailing address
55 Lake Ave N, Umass Memorial Medical Center, Psychiatry
Worcester, MA 01655-0002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 276298 (MA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN276298 (MA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704344082 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1093057580
Jennifer Massarelli, NURSE PRACTITIONER's National Provider Identifier is 1093057580, issued on Mar 22, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ann Arbor, MI. The record was last updated on Oct 25, 2022.