Individual
MICHELLE HARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
298 FEDERAL ST, GREENFIELD, MA 01301-1971
(413) 233-5265
Mailing address
23 WEST ST, PETERSHAM, MA 01366-9600
(978) 257-6164
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN85632
MA
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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