Individual
MICHAEL A CORRIVEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1109 GRANBY RD, CHICOPEE, MA 01020-1568
(413) 213-5668
(413) 356-6672
Mailing address
50 BUTTERNUT DR, AGAWAM, MA 01001-3000
(904) 229-9294
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
44404
CT
164W00000X
Licensed Practical Nurse
Primary
LN100403
MA
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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