Individual
NATALIYA SEVASTYANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1049 MAIN STREET, SPRINGFIELD, MA 01103-0110
(413) 739-1100
(413) 731-9919
Mailing address
1049 MAIN STREET, SPRINGFIELD, MA 01103-2219
(413) 214-1899
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
145419
CT
163W00000X
Registered Nurse
Primary
RN2266550
MA
363LF0000X
Family Nurse Practitioner
RN2266550
MA
Other
Enumeration date
08/30/2018
Last updated
11/27/2018
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