| NPI | 1104786896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KANN Medical Director 413-423-0733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-11-14 |
| Last Update Date | 2025-11-14 |