Individual
AMANDA WIELGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
575 BEECH ST, HOLYOKE, MA 01040-2223
(413) 534-2500
Mailing address
21 RIDGEVIEW TER, WESTFIELD, MA 01085-2005
(413) 485-8404
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2287794
MA
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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