Individual
CARLY JACQUELINE SANKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01107-1619
(413) 794-6297
(413) 794-1767
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
005451
CT
363LA2100X
Acute Care Nurse Practitioner
005451
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2264807
MA
Other
Enumeration date
11/27/2013
Last updated
09/17/2021
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