Individual
MICHELLE MATED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
230 MAPLE STREET, HOLYOKE, MA 01040
(413) 420-2200
Mailing address
230 MAPLE STREET, HOLYOKE, MA 01040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2356618
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110027773A
—
MA
Enumeration date
08/05/2022
Last updated
08/05/2022
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