Healthcare Provider Details

I. General information

NPI: 1891026506
Provider Name (Legal Business Name): TRICIA L MCGOVERN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY PATRICIA MCGOVERN

II. Dates (important events)

Enumeration Date: 01/20/2010
Last Update Date: 04/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 MAIN ST
SPRINGFIELD MA
01107-1112
US

IV. Provider business mailing address

280 CHESTNUT ST 2ND FLOOR
SPRINGFIELD MA
01199-1001
US

V. Phone/Fax

Practice location:
  • Phone: 413-794-9338
  • Fax: 413-794-9754
Mailing address:
  • Phone: 413-794-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number225188
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN225188
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: