Individual
MRS. KAREN ANNE COCCOLUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN BC PC
Contact information
Practice address
206 STATE ST, #206, NORTHAMPTON, MA 01060-2265
(413) 320-7594
Mailing address
2528 MAIN POLAND RD, WILLIAMSBURG, MA 01096-9602
(413) 369-4746
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
108491
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131404000
MAGELLAN
MA
05
—
1893289
—
MA
01
—
2143127
CIGNA
MA
01
—
467761
TUFTS
MA
01
—
PN0818
BCBS
MA
Enumeration date
01/04/2006
Last updated
05/20/2009
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