MEDICARE: DANIELLE COGLIANO PMHCNS-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SP0809X	Adult Psychiatric/Mental Health Clinical Nurse Specialist	271422	MA

General Provider Information

NPI Number	:	1679656151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE COGLIANO PMHCNS-BC

Provider Business Mailing Address
First Line	:	863 TURNPIKE ST STE 123
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-6173
Country	:	US
Telephone Number	:	978-775-2101
Fax Number	:	978-245-0393

Provider Business Practice Location Address
First Line	:	863 TURNPIKE ST STE 123
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-6173
Country	:	US
Telephone Number	:	978-775-2101
Fax Number	:	978-245-0393

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	02/19/2026

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