Individual
CELIA GOULDBOURNE-DUNKELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
102 CLIFTON AVE, SPRINGFIELD, MA 01105-1912
(413) 218-4699
Mailing address
102 CLIFTON AVE, SPRINGFIELD, MA 01105-1912
(413) 218-4699
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2301742
MA
363LA2200X
Adult Health Nurse Practitioner
2301742
MA
363LG0600X
Gerontology Nurse Practitioner
2301742
MA
363LP2300X
Primary Care Nurse Practitioner
2301742
MA
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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