Organization
COMMONWEALTH CLINICAL ALLIANCE
Active
Organization
COMMONWEALTH CLINICAL ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN ANN MINNICK NP (NURSE PRACTITIONER)
18882554525
Entity
Organization
Contact information
Practice address
380 PLAINFIELD ST, SPRINGFIELD, MA 01107-1524
(888) 255-4525
Mailing address
380 PLAINFIELD ST, SPRINGFIELD, MA 01107-1524
(888) 255-4525
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
252442
MA
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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