Individual
MS. MARY T PAQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 646-1222
(860) 465-3203
Mailing address
1215 WILBRAHAM RD, HEALTH SERVICES, SPRINGFIELD, MA 01119-2612
(413) 782-1211
(413) 796-2255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
001667
CT
363L00000X
Nurse Practitioner
169316
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004258283
—
CT
05
—
1609855162
—
CT
Enumeration date
01/12/2006
Last updated
06/04/2009
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