Individual provider · Type 1 NPI
Kathryn A. Proulx, CNP, PhD
Psychiatric/Mental Health Nurse Practitioner · Springfield, MA
NPI number
1376621615
Active
Practice location
1049 Main St
Springfield, MA 01103-2114
Fax (413) 304-4666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 127180 (MA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 001162 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1376621615
Kathryn A. Proulx, CNP, PhD's National Provider Identifier is 1376621615, issued on Nov 2, 2006. 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 Dec 16, 2016.