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Mrs. Anna Lea Kantor
Pediatric Nurse Practitioner in Springfield, Massachusetts
NPI 1659485902

Anna Lea Kantor is a Pediatric Nurse Practitioner based in Springfield, MA and is specialized in Pediatrics. Anna Lea Kantor practices in Springfield, MA. The NPI Number for Anna Lea Kantor is 1659485902 and holds a License No. 143670 (Massachusetts).

The current practice location address for Anna Lea Kantor is 1515 Allen St, Springfield, MA and can be reached out via phone at 413-782-7646.

Location: 1515 Allen St, Springfield, MA, 01118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659485902
Provider Name
Anna Lea Kantor
Credential
Provider Entity Type
Individual
Gender
Female
Address
1515 Allen St, Springfield, MA, 01118
Phone Number
413-782-7646
Fax Number
Provider Enumeration Date
08/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MK03513701 01 MA MASS CONTROLLED SUBSTANCE
institution
Provider Business Practice Location Address Details
Address
1515 Allen St
City
Springfield
State
Massachusetts
Zip
01118-1803
Phone Number
413-782-7646
Fax Number
person
Provider Business Mailing Address Details
Address
1515 Allen St
City
Springfield
State
Massachusetts
Zip
01118-1803
Phone Number
413-782-7646
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
143670 (Massachusetts)
Definition
Definition to come...
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