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Individual

ASHLEY CORRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
103 MYRON ST STE A, WEST SPRINGFIELD, MA 01089-1485
(617) 964-6681
Mailing address
103 MYRON STREET, SUITE A, WEST SPRINGFIELD, MA 01089

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
18680
TN
363LF0000X
Family Nurse Practitioner
Primary
RN2337170
MA

Other

Enumeration date
04/18/2015
Last updated
02/20/2020
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