Mina R Etedali, RN is a
Family Medicine based in Danvers, Massachusetts. Mina R Etedali is licensed to practice in Massachusetts (license number RN2356171) and her current practice location is
66 Liberty St, Danvers, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(978) 380-2432.
NPI number for Mina R Etedali is 1679270417 and her current mailing address is 66 Liberty St, Danvers, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679270417.
Provider's Profile
Full Name | Mina R Etedali |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 66 Liberty St, Danvers, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679270417
- Provider Enumeration Date: 02/13/2023
- Last Update Date: 03/25/2025
Medical Identifiers
Medical identifiers for Mina R Etedali such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679270417 | NPI | - | NPPES |
RN2356171 | Other | MA | RN LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WM0705X | Registered Nurse - Medical-surgical | 2356171 (Massachusetts) | Secondary |
207Q00000X | Family Medicine | RN2356171 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mina R Etedali is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mina R Etedali, RN 66 Liberty St, Danvers, MA 01923-3323 Ph: (978) 380-2432 | Mina R Etedali, RN 66 Liberty St, Danvers, MA 01923-3323 Ph: (978) 380-2432 |
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