Healthcare Provider Details

I. General information

NPI: 1780925297
Provider Name (Legal Business Name): LEA APPEL NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2013
Last Update Date: 03/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 CONWAY ST STE 2
GREENFIELD MA
01301-1522
US

IV. Provider business mailing address

329 CONWAY ST STE 2
GREENFIELD MA
01301-1522
US

V. Phone/Fax

Practice location:
  • Phone: 413-774-2400
  • Fax:
Mailing address:
  • Phone: 413-774-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number256721
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: