Individual
REBECCA M GAMACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
510 NORTH STREET, PITTSFIELD, MA 01201
(413) 447-2351
(413) 445-7009
Mailing address
P.O. BOX 30, GREAT BARRINGTON, MA 01230
(413) 528-9311
(413) 644-0274
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2274553
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2274553
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110120734A
—
MA
Enumeration date
11/13/2016
Last updated
11/15/2017
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