Individual
HILLARY LEEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, PMHNP-BC
Contact information
Practice address
110 MAPLE ST, SPRINGFIELD, MA 01105-1864
(413) 732-7419
Mailing address
110 MAPLE ST, SPRINGFIELD, MA 01105-1864
(413) 732-7419
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN2302763
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2016002034
MA
Other
Enumeration date
08/19/2015
Last updated
06/24/2021
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