Sandra J Rae RNC,WHNP

NPI 1750423430 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1750423430
Gender Female
Enumeration Date 02/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3550 MAIN ST
SUITE 201
SPRINGFIELD MA, 01107-1089, US
Phone (413) 732-1620
Fax (617) 616-1617
Business Location
85 NONOTUCK ST
HOLYOKE MA, 01040-2635, US
Phone (413) 732-1620
Fax
Toxanomy
Taxonomy Code 363LW0102X
License State Massachusetts
License Number 268675
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According to our database, Sandra J Rae RNC,WHNP NPI is 1750423430, taxonomy code is 363LW0102X and license number is 268675, license state is located at Massachusetts. Sandra J Rae RNC,WHNP physically located at 3550 Main St, Springfield MA, 01107-1089. NPI Number Sandra J Rae RNC,WHNP has the Individual type.

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1750423430 NPI number is provided on an as is basis without warranty of any kind. 1750423430 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra J Rae RNC,WHNP are for informational purposes only.