Individual
MRS. BEVERLY A FAILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BIRNIE AVE, SPRINGFIELD, MA 01107-1107
(413) 785-4666
(413) 846-4756
Mailing address
300 BIRNIE AVE, SUITE 201, SPRINGFIELD, MA 01107-1107
(413) 785-4666
(413) 846-4756
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
255880
MA
363LA2100X
Acute Care Nurse Practitioner
2007007224-28
MA
Other
Enumeration date
07/09/2008
Last updated
01/31/2014
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