Healthcare Provider Details

I. General information

NPI: 1902137052
Provider Name (Legal Business Name): GAIL F. SCHOBER RN/PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GAIL MONTAGUE

II. Dates (important events)

Enumeration Date: 01/28/2010
Last Update Date: 01/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1132 WESTFIELD ST
WEST SPRINGFIELD MA
01089-3878
US

IV. Provider business mailing address

107 BOOT POND RD
PLYMOUTH MA
02360-3108
US

V. Phone/Fax

Practice location:
  • Phone: 413-592-1980
  • Fax: 413-439-0096
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN172670
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: