Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 166804 | MA |
NPI | 1073739751 |
---|---|
Provider Name | Ms. Karen B Engell |
First Address | Longmeadow, MA 01106-1950 |
Second Address | South Hadley, MA 01075-1423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 08/07/2007 |