Healthcare Provider Details

I. General information

NPI: 1184885725
Provider Name (Legal Business Name): ELIZABETH ELLA DRUMMOND APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2008
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 CAREW ST
SPRINGFIELD MA
01104-2377
US

IV. Provider business mailing address

75 MORNINGSIDE PARK
SPRINGFIELD MA
01108-2842
US

V. Phone/Fax

Practice location:
  • Phone: 413-748-9064
  • Fax: 413-748-9049
Mailing address:
  • Phone: 413-297-2930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number98259
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: