Individual
COLLEEN FRANCES KUBISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
489 WHITNEY AVE, HOLYOKE, MA 01040-2711
(413) 532-6777
Mailing address
843 COUNTRY CLUB RD, GREENFIELD, MA 01301-9793
(413) 774-6471
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
151470
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011947
CIGNA
MA
01
—
31915
HNE
MA
01
—
PN0825
BCBS
MA
Enumeration date
04/03/2007
Last updated
07/08/2007
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