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General NPI Number Information
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NPI Number | 1952302986
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Entity Type | Individual
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Provider Name | MARTHA S SPIRO FNP
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Gender | Female
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Dates
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Enumeration Date | 08/01/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 247 CABOT ST WESTERN MASS PEDIATRICS-CARE CENTER
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City | HOLYOKE
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State | MA
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Zip | 01040-3927
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Country | US
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Telephone | 413-532-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 260 NEW LUDLOW RD WESTERN MASS PHYSICIAN ASSOCIATES INC
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City | CHICOPEE
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State | MA
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Zip | 01020-4324
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Country | US
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Telephone | 413-533-3470
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Fax | 413-533-6859
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 206257
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License Number State | MA
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