Individual
CARLENY HENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 MAPLE ST, HOLYOKE, MA 01040-5144
(413) 420-2200
Mailing address
575 BEECH ST, HOLYOKE, MA 01040-2223
(413) 534-2500
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN2296631
MA
363LA2100X
Acute Care Nurse Practitioner
14497
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2296631
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300237
—
MA
Enumeration date
11/19/2014
Last updated
04/10/2025
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