Individual
BETH MARKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
230 MAIN ST, AGAWAM, MA 01001-1838
(413) 789-6800
(413) 796-6821
Mailing address
230 MAIN ST, AGAWAM, MA 01001-1838
(413) 789-6800
(413) 796-6821
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2290986
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110107503/A
—
MA
Enumeration date
08/13/2015
Last updated
10/07/2016
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