Individual
MRS. CONSTANCE MARY FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
165 TOR CT, PITTSFIELD, MA 01201-3001
(413) 447-2862
(413) 447-2869
Mailing address
725 NORTH STREET, PITTSFIELD, MA 01201
(413) 395-7655
(413) 447-2667
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
131866
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002905201
MEDICARE B
MA
Enumeration date
06/26/2012
Last updated
01/17/2013
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