person
Mrs. Kristine K Wailgum, APRN
Adult Health Nurse Practitioner in Longmeadow, Massachusetts
NPI 1477524031

Kristine K Wailgum is an Adult Health Nurse Practitioner based in Ludlow, MA and is specialized in Adult Health. Kristine K Wailgum practices in Longmeadow, MA and has the professional credentials of APRN. The NPI Number for Kristine K Wailgum is 1477524031 and holds a License No. 110009 (Massachusetts).

The current practice location address for Kristine K Wailgum is 770 Converse St, Longmeadow, MA and can be reached out via phone at 413-567-3949 and via fax at 413-567-0175.

Location: 770 Converse St, Longmeadow, MA, 01056-0789
person
Provider Profile Details
NPI Number
1477524031
Provider Name
Kristine K Wailgum
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
770 Converse St, Longmeadow, MA, 01056-0789
Phone Number
413-567-3949
Fax Number
413-567-0175
Provider Enumeration Date
01/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8303930 01 MA EVERCARE
0710296 05 MA
NP2697 01 MA BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
770 Converse St
City
State
Zip
01106-1719
Phone Number
413-567-3949
Fax Number
413-567-0175
person
Provider Business Mailing Address Details
Address
770 Converse St
City
State
Zip
01106-1719
Phone Number
413-567-3949
Fax Number
413-567-0175
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
110009 (Massachusetts)
Definition
Definition to come...
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