Individual
MRS. BRIANNA KIPETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
263 ALDEN ST, SPRINGFIELD, MA 01109-3707
(413) 949-1797
Mailing address
29 BROOKSIDE CIR, WILBRAHAM, MA 01095-2102
(413) 949-1797
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2279460
MA
Other
Enumeration date
07/21/2020
Last updated
09/02/2020
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