Basic Information
| Provider Information | |||||||||
| NPI: | 1780735571 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NARDELLA | ||||||||
| FirstName: | FRANCIS | ||||||||
| MiddleName: | A. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9000 N MAIN ST | ||||||||
| Address2: | STE 200 | ||||||||
| City: | ENGLEWOOD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454151165 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4804516860 | ||||||||
| FaxNumber: | 4804516769 | ||||||||
| Practice Location | |||||||||
| Address1: | 900 BROADWAY | ||||||||
| Address2: | |||||||||
| City: | BANGOR | ||||||||
| State: | ME | ||||||||
| PostalCode: | 044011900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2079073370 | ||||||||
| FaxNumber: | 2079071189 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/16/2007 | ||||||||
| LastUpdateDate: | 10/12/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/12/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | EL201705 | ME | N | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | 174400000X | 20026 | AZ | N | Other Service Providers | Specialist | 207RR0500X | 58987 | MN | N | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | 207RR0500X | 35.138856 | OH | N | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | 207RR0500X | MD24156 | ME | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
No ID Information.