Basic Information
| Provider Information | |||||||||
| NPI: | 1831411917 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NARDELLO | ||||||||
| FirstName: | NINA | ||||||||
| MiddleName: | VINCENZA | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 143 LONGWATER DR | ||||||||
| Address2: | |||||||||
| City: | NORWELL | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020611683 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7818785200 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 143 LONGWATER DR | ||||||||
| Address2: | |||||||||
| City: | NORWELL | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020611683 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7818785200 | ||||||||
| FaxNumber: | 7818786750 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/17/2010 | ||||||||
| LastUpdateDate: | 01/16/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 262289 | MA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 1831411917 | 01 | FALLON | OTHER | 1831411917 | 05 | MA | MEDICAID | 04-2297845 | 01 | UNITED HEALTH CARE | OTHER | 04-2297845 | 01 | UNICARE | OTHER | 0376556 | 01 | CIGNA | OTHER | 04-2297845 | 01 | GIC | OTHER | 04-2297845 | 01 | HCVM | OTHER | 04-2297845 | 01 | TRICARE | OTHER | 5123927 | 01 | AETNA | OTHER | AA476297 | 01 | HARVARD PILGRIM | OTHER | 04-2297845 | 01 | PHCS/MULTI-PLAN | OTHER | 542733 | 01 | TUFTS AND TUFTS MEDICARE PREFERRED | OTHER | 1831411917 | 01 | NEIGHBORHOOD HEALTH PLAN | OTHER | J55028 | 01 | BLUE CROSS BLUE SHIELD | OTHER |