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RIVERS EDGE PRIMARY CARE LLC NPI 1790378487


NPI Information

NPI: 1790378487
Provider Name: RIVERS EDGE PRIMARY CARE LLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
821 E MAIN ST STE 3
CHICOPEE, MA
ZIP 01020
Phone: (413) 695-6774
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RIVERS EDGE PRIMARY CARE LLC is a primary care nurse practitioner in Chicopee, MA. RIVERS EDGE PRIMARY CARE LLC NPI is 1790378487. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

821 E MAIN ST STE 3
CHICOPEE, MA
ZIP 01020-306
Phone: (413) 695-6774

The provider's authorized official is Jennifer L Jordan .
The authorized official title is Member and has the following contact phone number (413) 695-6774.

The enumeration date for this NPI number is 2/15/2021 and was last updated on 2/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthNo
2363LC1500XNurse PractitionerCommunity HealthNo
3363LF0000XNurse PractitionerFamilyNo
4363LW0102XNurse PractitionerWomen's HealthNo
5363LP2300XNurse PractitionerPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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