Individual
LAUREN CERULLE PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2900
Mailing address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2900
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
703005
NY
363L00000X
Nurse Practitioner
7626
CT
363L00000X
Nurse Practitioner
Primary
RN2320498
MA
363LA2200X
Adult Health Nurse Practitioner
7626
CT
363LG0600X
Gerontology Nurse Practitioner
7626
CT
Other
Enumeration date
02/20/2017
Last updated
08/31/2023
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