Individual
CHALICE SANTORELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6 PARC PL, SOUTHAMPTON, MA 01073-9277
(413) 582-4740
Mailing address
30 LOCUST ST, PO BOX 911, NORTHAMPTON, MA 01060-2052
(413) 582-4740
(413) 582-2958
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
267935
MA
363LW0102X
Women's Health Nurse Practitioner
267935
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0720968
—
MA
Enumeration date
03/04/2008
Last updated
01/02/2013
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