Individual
MRS. MAURA J SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 STAFFORD ST, SUITE 200, SPRINGFIELD, MA 01104-4110
(413) 276-6700
(413) 301-7123
Mailing address
300 STAFFORD ST, SUITE 200, SPRINGFIELD, MA 01104-4110
(413) 276-6700
(413) 301-7123
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
169613
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500025897
RAIL ROAD MEDICARE
MA
Enumeration date
07/30/2006
Last updated
10/11/2016
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