Individual
ANNE L VAILLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
17 RESEARCH DRIVE, AMHERST, MA 01002
(413) 549-8400
(413) 549-8409
Mailing address
17 RESEARCH DRIVE, AMHERST, MA 01002
(413) 549-8400
(413) 549-8409
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
206006
MA
367A00000X
Advanced Practice Midwife
206006
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110017490A
—
MA
Enumeration date
06/20/2005
Last updated
01/28/2022
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