Mrs. Kristine K Wailgum, APRN
Nurse Practitioner, Adult Health in Longmeadow, Massachusetts
1477524031- Practice location
- 770 Converse St, Longmeadow, MA 01106-1719
- Phone
- 413-567-3949
- Fax
- 413-567-0175
- Last updated
- October 25, 2011
Kristine K Wailgum is a Nurse Practitioner, Adult Health based in Longmeadow, MA. 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 (MA). The current practice location address for Kristine K Wailgum is 770 Converse St, Longmeadow, MA 01106-1719 and can be reached out via phone at 413-567-3949 and via fax at 413-567-0175.
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 01106-1719
- Phone Number
- 413-567-3949
- Fax Number
- 413-567-0175
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 31, 2006
- Last Update Date
- October 25, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 770 Converse St
Longmeadow, MA 01106-1719 - City
- Longmeadow
- State
- Massachusetts
- Zip
- 01106-1719
- Phone Number
- 413-567-3949
- Fax Number
- 413-567-0175
Provider Business Mailing Address Details
- Address
- Po Box 789
Ludlow, MA 01056-0789 - City
- Ludlow
- State
- MA
- Zip
- 01056-0789
- Phone Number
- 413-509-1000
- Fax Number
- 413-509-1003
License Information
- License Number
- 110009
- License State
- MA
- Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mrs. Kristine K Wailgum, APRN?
The NPI number of Mrs. Kristine K Wailgum, APRN is 1477524031. It was assigned on January 31, 2006 and is currently active in the NPPES registry.
What is the specialty of Mrs. Kristine K Wailgum, APRN?
Mrs. Kristine K Wailgum, APRN is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in MA under license number 110009.
Where does Mrs. Kristine K Wailgum, APRN practice?
The practice location is 770 Converse St, Longmeadow, MA 01106-1719. The office can be reached at 413-567-3949 (phone) or 413-567-0175 (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 1477524031 directly on the NPPES registry website.