Healthcare Provider Details

I. General information

NPI: 1033293725
Provider Name (Legal Business Name): KATHLEEN M SYLVESTER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHLEEN M CHAPMAN NP

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 05/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 RUSSELL ST STE 7
HADLEY MA
01035-3534
US

IV. Provider business mailing address

234 RUSSELL ST STE 7
HADLEY MA
01035-3534
US

V. Phone/Fax

Practice location:
  • Phone: 413-586-6020
  • Fax: 413-584-0286
Mailing address:
  • Phone: 413-586-6020
  • Fax: 413-584-0286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number142872
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: