Healthcare Provider Details

I. General information

NPI: 1306283676
Provider Name (Legal Business Name): MARGAUX ALEXCIER PLOURDE RN, MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2013
Last Update Date: 06/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 HIGH ST
SPRINGFIELD MA
01105-1442
US

IV. Provider business mailing address

140 HIGH ST
SPRINGFIELD MA
01105-1442
US

V. Phone/Fax

Practice location:
  • Phone: 413-495-1500
  • Fax: 508-791-6723
Mailing address:
  • Phone: 413-495-1500
  • Fax: 508-791-6723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: