Healthcare Provider Details

I. General information

NPI: 1043351513
Provider Name (Legal Business Name): MICHELLE KASKEY APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 CENTER CT
NORTHAMPTON MA
01060-3006
US

IV. Provider business mailing address

9 CENTER CT
NORTHAMPTON MA
01060-3006
US

V. Phone/Fax

Practice location:
  • Phone: 413-586-3319
  • Fax:
Mailing address:
  • Phone: 413-586-3319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRNPC159248
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: