Healthcare Provider Details

I. General information

NPI: 1538777156
Provider Name (Legal Business Name): MARGARET SELDIN WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2020
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3550 MAIN ST STE 201
SPRINGFIELD MA
01107-1078
US

IV. Provider business mailing address

3550 MAIN ST STE 201
SPRINGFIELD MA
01107-1078
US

V. Phone/Fax

Practice location:
  • Phone: 413-732-1620
  • Fax:
Mailing address:
  • Phone: 413-732-1620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2344456
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: