Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | 001140 | CT |
Y | 363LN0000X | Nurse Practitioner - Neonatal | 160084 | MA |
NPI | 1225127764 |
---|---|
Provider Name | Mrs. Barbara Anne Clay |
First Address | Springfield, MA 01199-1619 |
Second Address | Springfield, MA 01199-1619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 22/05/2014 |