Individual
MICHELLE RENR HASENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 584-4040
Mailing address
649 PROSPECT ST # A1, CHICOPEE, MA 01020-3047
(402) 460-9174
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
118010
CT
163W00000X
Registered Nurse
48553
NE
163W00000X
Registered Nurse
Primary
RN2290923
MA
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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