Individual
JANE MYERS VANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2 MEDICAL CENTER DR STE 512, SPRINGFIELD, MA 01107-1273
(413) 794-5550
(413) 794-4212
Mailing address
280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0961
NH
363A00000X
Physician Assistant
PA001106
ME
363AS0400X
Surgical Physician Assistant
Primary
PA6132
MA
Other
Enumeration date
08/30/2007
Last updated
08/08/2023
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