Doctor Name: | THERESA A LIND |
NPI Number: | 1174877054 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 252843 |
Business Practice Address: | 470 Granby Rd South Hadley, MA - 010753218 |
Business Phone Number: | 4135333926 |
Business Fax Number: | 4137948732 |
Mailing Address: | 280 Chestnut St, 2nd Fl SPRINGFIELD |
State: | MA |
Postal Code: | 011991619 |
Phone Number: | 4137945700 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2012 |
NPI Last Update Date: | 10/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 252843 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |