Individual
MICHELE JAVADPOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGPCNP-BC
Contact information
Practice address
819 WORCESTER ST STE 3, SPRINGFIELD, MA 01151-1056
(413) 543-6820
(413) 543-7962
Mailing address
819 WORCESTER ST, SUITE 3, SPRINGFIELD, MA 01151-1045
(413) 543-6820
(413) 543-7962
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00719500
NJ
363LA2200X
Adult Health Nurse Practitioner
2300692
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
2300692
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MA
Enumeration date
10/22/2014
Last updated
06/21/2017
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