Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mina R Etedali, RN

Individual provider Family Nurse Practitioner · NPI 1679270417

Mina R Etedali, RN is a Nurse Practitioner in Danvers, Massachusetts. Qualified in 2025, 1 year ago. Practices with Beth Israel Lahey Health Primary Care, Inc, a 353-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2023
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

66 Liberty St
Danvers, MA 01923-3323
Phone: (978) 380-2432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 298 Washington St Fl 1, Gloucester, MA 01930-4832 — (978) 283-2726
  • 298 Washington St Fl 4, Gloucester, MA 01930-4832 — (978) 283-7580
  • 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 — (617) 323-7700

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence RN2356171 (MA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN2356171 (MA)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 2356171 (MA)

Record details

NPI number1679270417
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedFebruary 13, 2023
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing address66 Liberty St, Danvers, MA 01923-3323

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Beth Israel Lahey Health Primary Care, Inc — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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