Individual provider · Type 1 NPI
Bernice A. Ezell, NP
Primary Care Nurse Practitioner · Springfield, MA
NPI number
1023030145
Active
Practice location
380 Plainfeild St
Springfield, MA 01199-0001
Fax (413) 794-9434
Mailing address
280 Chestnut St, 2nd Floor
Springfield, MA 01199-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 114361 (MA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1023030145
Bernice A. Ezell, NP's National Provider Identifier is 1023030145, issued on Jul 25, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Springfield, MA. The record was last updated on Jul 8, 2007.