Individual
NICOLE CARRETTA PHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
230 MAPLE ST STE 1, HOLYOKE, MA 01040-5140
(413) 420-2200
Mailing address
230 MAPLE ST STE 1, HOLYOKE, MA 01040-5140
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163883
CT
163W00000X
Registered Nurse
RN2353271
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2353271
MA
Other
Enumeration date
06/24/2021
Last updated
01/25/2022
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