Individual
PREMILA NAIR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
532 SUMNER AVE, SPRINGFIELD, MA 01108-2458
(413) 739-1100
(413) 737-1643
Mailing address
532 SUMNER AVE, SPRINGFIELD, MA 01108-2458
(413) 739-1100
(413) 737-1643
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
190033
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037112
PROVIDER NHP NUMBER
MA
05
—
1310097
—
MA
01
—
83-02800
PROVIDER EVERCARE NUMBER
MA
01
—
MN0564876 I
CSR NUMBER
MA
Enumeration date
04/19/2006
Last updated
03/07/2023
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