Individual
AGATA MARTA MENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
29 PINE ST, SOUTHBRIDGE, MA 01550-1823
(508) 765-9167
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2265892
MA
Other
Enumeration date
05/17/2023
Last updated
03/05/2024
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