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Individual

MS. MARIE JANE CARRIER-MANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS FNP

Contact information

Practice address
1045 MAIN ST FL 1, HOLYOKE, MA 01040-5373
(413) 540-1100
Mailing address
PO BOX 791, HOLYOKE, MA 01041-0791
(413) 540-1100
(413) 533-1016

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
169556
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0322016-22
NP CERTIFICATION NUMBER
MA
01
169556
NP LICENSE
MA
Enumeration date
02/09/2007
Last updated
12/17/2021
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