Individual provider · Type 1 NPI

Taylor Johnson Antonellis, FNP-C

Family Nurse Practitioner · Waltham, MA

NPI number 1144957036 Active

Practice location

43 Foundry Ave Ste 110
Waltham, MA 02453-8313

Call (781) 693-3800 Map

Fax (617) 562-1398

Mailing address

43 Foundry Ave
Waltham, MA 02453-8313

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN2350068 (MA)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1144957036

Taylor Johnson Antonellis, FNP-C's National Provider Identifier is 1144957036, issued on Aug 2, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Waltham, MA. The record was last updated on Apr 10, 2026.