Active NPIIndividual provider

Bernice A Ezell, NP

Nurse Practitioner, Primary Care in Springfield, Massachusetts

NPI Number1023030145
Practice location
380 Plainfeild St, Springfield, MA 01199-0001
Fax
413-794-9434
Last updated
July 8, 2007

Bernice A Ezell is a Nurse Practitioner, Primary Care based in Springfield, MA. Bernice A Ezell practices in Springfield, MA and has the professional credentials of NP. The NPI Number for Bernice A Ezell is 1023030145 and holds a License No. 114361 (MA). The current practice location address for Bernice A Ezell is 380 Plainfeild St, Springfield, MA 01199-0001 and can be reached out via phone at 413-794-4458 and via fax at 413-794-9434.

Provider Profile Details

NPI Number
1023030145
Provider Name
Bernice A Ezell
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
380 Plainfeild St, Springfield, MA 01199-0001
Phone Number
413-794-4458
Fax Number
413-794-9434
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
No
Provider Enumeration Date
July 25, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
380 Plainfeild St
Springfield, MA 01199-0001
Zip
01199-0001
Phone Number
413-794-4458
Fax Number
413-794-9434
Springfield, MA 01199Get directions →

Provider Business Mailing Address Details

Address
280 Chestnut St
2ND Floor
Springfield, MA 01199-1000
City
Springfield
State
MA
Zip
01199-1000
Phone Number
413-794-5700
Fax Number
413-794-1629

License Information

License Number
114361
License State
MA
Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bernice A Ezell, NP?

The NPI number of Bernice A Ezell, NP is 1023030145. It was assigned on July 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Bernice A Ezell, NP?

Bernice A Ezell, NP is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in MA under license number 114361.

Where does Bernice A Ezell, NP practice?

The practice location is 380 Plainfeild St, Springfield, MA 01199-0001. The office can be reached at 413-794-4458 (phone) or 413-794-9434 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023030145 directly on the NPPES registry website.

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