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Individual

MRS. ANN W. BODKHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, ANP-BC

Contact information

Practice address
51 SANDERSON ST, GREENFIELD, MA 01301-2711
(413) 772-6040
(413) 772-6045
Mailing address
30 SHEPHARD RD, CHARLEMONT, MA 01339-9720
(413) 625-9455

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
178403
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0320978
MA
Enumeration date
01/31/2006
Last updated
08/07/2008
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