MRS. Cheryl Diane Provost, REGISTERED NURSE
NPI #1053568832 in Springfield, Massachusetts
Provider Information
- NPI Number
- 1053568832
- Entity Type
- Individual
- Name
- MRS. Cheryl Diane Provost, REGISTERED NURSE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Pediatrics
- Credential
- REGISTERED NURSE
- Enumeration Date
- Aug 22, 2008
- Last Updated
- Aug 22, 2008
Practice Location
- Address
- 235 CHESTNUT ST
- City
- Springfield
- State
- Massachusetts
- ZIP Code
- 01103-1100
- Phone
- (413) 726-0503
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Pediatrics — Pediatrics |
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