Organization · Type 2 NPI
Rivers Edge Primary Care LLC
Primary Care Nurse Practitioner · Chicopee, MA
NPI number
1790378487
Active
Practice location
821 E Main St Ste 3
Chicopee, MA 01020-6306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | None listed |
| Community Health Nurse Practitioner | 363LC1500X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
| Women's Health Nurse Practitioner | 363LW0102X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1790378487
Rivers Edge Primary Care LLC's National Provider Identifier is 1790378487, issued on Feb 15, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Chicopee, MA. The record was last updated on Feb 15, 2021.