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Geraldine S. Koppenaal, RNCS
Psychiatric/Mental Health Registered Nurse in Melrose, Massachusetts
NPI 1629023940

Geraldine S. Koppenaal is a Psychiatric/Mental Health Registered Nurse based in Melrose, MA and is specialized in Psychiatric/Mental Health. Geraldine S. Koppenaal practices in Melrose, MA and has the professional credentials of RNCS. The NPI Number for Geraldine S. Koppenaal is 1629023940 and holds a License No. 116810 (Massachusetts).

The current practice location address for Geraldine S. Koppenaal is 106 West Foster Street, Melrose, MA and can be reached out via phone at 781-665-4295.

Location: 106 West Foster Street, Melrose, MA, 02176-3813
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Provider Profile Details
NPI Number
1629023940
Provider Name
Geraldine S. Koppenaal
Credential
RNCS
Provider Entity Type
Individual
Gender
Female
Address
106 West Foster Street, Melrose, MA, 02176-3813
Phone Number
781-665-4295
Fax Number
Provider Enumeration Date
05/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0036916 01 MA NEIGHBORHOOD HEALTH PLAN
PN0658 01 MA BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
106 West Foster Street
City
State
Zip
02176
Phone Number
781-665-4295
Fax Number
person
Provider Business Mailing Address Details
Address
106 West Foster Street
City
State
Zip
02176
Phone Number
781-665-4295
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
116810 (Massachusetts)
Definition
Definition to come...
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