Healthcare Provider Details

I. General information

NPI: 1902670599
Provider Name (Legal Business Name): CHRISTINA NICOLE LATORRA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2023
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 MAIN ST
SPRINGFIELD MA
01107-1112
US

IV. Provider business mailing address

3300 MAIN ST 3C &3D
SPRINGFIELD MA
01199
US

V. Phone/Fax

Practice location:
  • Phone: 413-794-5600
  • Fax: 413-794-7297
Mailing address:
  • Phone: 413-794-5600
  • Fax: 413-794-7297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number012897
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: