Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | RN2339027 | MA |
NPI | 1023603982 |
---|---|
Provider Name | Magdalena Tokarzewski |
First Address | Springfield, MA 01105 |
Second Address | Springfield, MA 01105 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2021 |
Last Update Date | 28/04/2021 |