Individual
MS. JULIE RAE BERMANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3300 MAIN STREET, SPRINGFIELD, MA 01107-1112
(413) 794-5555
Mailing address
280 CHESTNUT STREET, 2ND FL, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
179375
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
179375
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9782613
—
MA
Enumeration date
10/23/2006
Last updated
12/21/2018
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