Individual
SANYU HAFFUSA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3550 MAIN ST. COMMONWEALTH COMMUNITY CARE, SUITE 101, SPRINGFIELD, MA 01107-1078
(413) 858-7400
(413) 746-0380
Mailing address
1 BOSTON MEDICAL CTR PL, DOWLING NORTH, SUITE 5108, BOSTON, MA 02118-2908
(617) 638-7062
(617) 638-7075
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2297541
MA
Other
Enumeration date
08/13/2013
Last updated
12/30/2014
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