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Individual

PAULA M EVELEIGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
444 MONTGOMERY ST, CHICOPEE, MA 01020-1969
(413) 594-3111
(413) 598-7115
Mailing address
444 MONTGOMERY ST, CHICOPEE, MA 01020-1969
(413) 594-3111
(413) 598-7115

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
B110009
IA
367A00000X
Advanced Practice Midwife
Primary
210781
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0057570
IA
05
0431841
IA
Enumeration date
10/05/2005
Last updated
02/01/2012
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