Healthcare Provider Details

I. General information

NPI: 1467006858
Provider Name (Legal Business Name): KIMBERLY D. PARROW APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2019
Last Update Date: 07/29/2021
Certification Date: 07/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 SOUTHAMPTON RD
WESTFIELD MA
01085-1324
US

IV. Provider business mailing address

395 SOUTHAMPTON RD
WESTFIELD MA
01085-1324
US

V. Phone/Fax

Practice location:
  • Phone: 413-533-2900
  • Fax: 413-568-4631
Mailing address:
  • Phone: 413-533-2900
  • Fax: 413-568-4631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number8614
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN232362
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: