Individual
DANIELLE CIRCOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1109 GRANBY RD, CHICOPEE, MA 01020-1568
(413) 683-0159
Mailing address
1109 GRANBY RD, CHICOPEE, MA 01020-1568
(413) 683-0159
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN251939
MA
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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