Nicole Carretta Phalen, RN
Nurse Practitioner, Family in Holyoke, MA. Individual provider (NPI-1).
NPI number1164091963
StatusActive
Last updated in NPPESJan 25, 2022
Details
- NPI
- 1164091963
- Entity type
- Individual (NPI-1)
- Name
- Nicole Carretta Phalen
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2021
- Certification date
- Sep 22, 2021
- Last updated
- Jan 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN2353271 | MA | Yes |
| 163W00000X | Registered Nurse | 163883 | CT | |
| 163W00000X | Registered Nurse | RN2353271 | MA |
Practice location
230 Maple St Ste 1Holyoke, MA 01040-5140
Phone 413-420-2200
Mailing address
230 Maple St Ste 1Holyoke, MA 01040-5140
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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