Individual provider · Type 1 NPI
Ellen Clare Ingraham-Shaw, CNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Springfield, MA
NPI number
1255152302
Active
Practice location
3300 Main St
Springfield, MA 01107-1112
Fax (413) 794-7140
Mailing address
280 Chestnut Street, 2nd Fl
Springfield, MA 01199-1001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2321847 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1255152302
Ellen Clare Ingraham-Shaw, CNP, PMHNP-BC's National Provider Identifier is 1255152302, issued on Oct 22, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Springfield, MA. The record was last updated on Jan 10, 2025.