| Doctor Name: | ANNE M. NUNNELLY |
| NPI Number: | 1477693661 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 487 |
| Business Practice Address: | 592 Center St Ludlow, MA - 010561461 |
| Business Phone Number: | 4135470012 |
| Business Fax Number: | 4135470034 |
| Mailing Address: | 819 Worcester St Ste 3, SPRINGFIELD |
| State: | MA |
| Postal Code: | 011511056 |
| Phone Number: | 4135436820 |
| Fax Number: | 4135437962 |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 02/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 487 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |