Individual
ANNE M. NUNNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
592 CENTER ST, LUDLOW, MA 01056-1461
(413) 547-0012
(413) 547-0034
Mailing address
819 WORCESTER ST STE 3, SPRINGFIELD, MA 01151-1056
(413) 543-6820
(413) 543-7962
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
487
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
487
MEDICAL LICENSE NUMBER
MA
Enumeration date
02/07/2007
Last updated
02/16/2012
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