person
Kathryn A Proulx, CNP,PHD
Psychiatric/Mental Health Nurse Practitioner in Springfield, Massachusetts
NPI 1376621615

Kathryn A Proulx is a Psychiatric/Mental Health Nurse Practitioner based in Springfield, MA and is specialized in Psychiatric/Mental Health. Kathryn A Proulx practices in Springfield, MA and has the professional credentials of CNP,PHD. The NPI Number for Kathryn A Proulx is 1376621615 and holds a License No. 127180 (Massachusetts).

The current practice location address for Kathryn A Proulx is 1049 Main St, Springfield, MA and can be reached out via phone at 413-739-1100 and via fax at 413-304-4666.

Location: 1049 Main St, Springfield, MA, 01103-2114
person
Provider Profile Details
NPI Number
1376621615
Provider Name
Kathryn A Proulx
Credential
CNP,PHD
Provider Entity Type
Individual
Gender
Female
Address
1049 Main St, Springfield, MA, 01103-2114
Phone Number
413-739-1100
Fax Number
413-304-4666
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110028120 05 MA
institution
Provider Business Practice Location Address Details
Address
1049 Main St
City
State
Zip
01103-2114
Phone Number
413-739-1100
Fax Number
413-304-4666
person
Provider Business Mailing Address Details
Address
1049 Main St
City
State
Zip
01103-2114
Phone Number
413-739-1100
Fax Number
413-304-4666
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
001162 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
127180 (Massachusetts)
Definition
Definition to come...
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