Individual
CHRISTINE K W NDISSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1049 MAIN ST, SPRINGFIELD, MA 01103-2114
(413) 693-1002
Mailing address
1049 MAIN ST, SPRINGFIELD, MA 01103-2114
(413) 693-1002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
266890
MA
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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