Healthcare Provider Details

I. General information

NPI: 1679770457
Provider Name (Legal Business Name): GUERLINE M MENELAS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PLYMOUTH ST
HALIFAX MA
02338-1344
US

IV. Provider business mailing address

233 BROAD ST
BRIDGEWATER MA
02324-1786
US

V. Phone/Fax

Practice location:
  • Phone: 508-718-5900
  • Fax:
Mailing address:
  • Phone: 508-807-5265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN266832
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: