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Individual

MISS JULIA ANN ROOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
25 BOND ST, SPRINGFIELD, MA 01104-3401
(413) 584-4040
Mailing address
41 SOUTH ST UNIT 51, EASTHAMPTON, MA 01027-2136
(413) 588-2944

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
169730
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1295845683
MA
01
169730
APRN LICENSE
MA
01
MR1061011L
MA SUBSTANCE ABUSE
Enumeration date
08/30/2006
Last updated
02/27/2024
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