Individual
MRS. ILEANA MIRANDA-VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
108 RUSSELL ST, HADLEY, MA 01035-9595
(413) 387-0075
(413) 387-0074
Mailing address
50 PLEASANT ST, NORTHAMPTON, MA 01060-4127
(413) 587-7500
(413) 585-1355
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
236837
MA
Other
Enumeration date
01/04/2006
Last updated
02/24/2020
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