Facts
- Status
- A
- Credential
- MS, PMHNP-BC
- Type
- Individual
- Enumeration date
- 2023-10-19
- Last updated
- 2024-09-23
Licenses
- License MA
- RN2372168
Location
- Practice location
- 157 PAIGE HILL RD
- City
- BRIMFIELD MA
- Postal code
- 010109779
- Phone
- 413-343-4175
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.