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NPI Code Detail

MEDICARE: PAULA M EVELEIGH ARNP

MEDICARE: PAULA M EVELEIGH ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantB110009IA
2367A00000XAdvanced Practice Midwife210781MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265429021
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULA M EVELEIGH ARNP
Provider Business Mailing Address
First Line : 444 MONTGOMERY ST
Second Line :
City : CHICOPEE
State : MA
Zip : 01020-1969
Country : US
Telephone Number : 413-594-3111
Fax Number : 413-598-7115
Provider Business Practice Location Address
First Line : 444 MONTGOMERY ST
Second Line :
City : CHICOPEE
State : MA
Zip : 01020-1969
Country : US
Telephone Number : 413-594-3111
Fax Number : 413-598-7115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2005
Last Update Date : 02/01/2012

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Directions to “ PAULA M EVELEIGH ARNP” Practice Location

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