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Individual

MRS. ELLEN ANN LATOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN/NP

Contact information

Practice address
780 CHESTNUT ST, SUITE 23, SPRINGFIELD, MA 01107-1637
(413) 787-2800
(413) 787-2822
Mailing address
780 CHESTNUT ST, SUITE 23, SPRINGFIELD, MA 01107-1637
(413) 787-2800
(413) 787-2822

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN160329
MA
363LG0600X
Gerontology Nurse Practitioner
RN160329
MA

Other

Enumeration date
12/01/2009
Last updated
10/03/2010
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