Ellen Clare Ingraham-Shaw, CNP, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Springfield, MA. Individual provider (NPI-1).
NPI number1255152302
StatusActive
Last updated in NPPESJan 10, 2025
Details
- NPI
- 1255152302
- Entity type
- Individual (NPI-1)
- Name
- Ellen Clare Ingraham-Shaw
- Credential
- CNP, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2024
- Certification date
- Jan 10, 2025
- Last updated
- Jan 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | RN2321847 | MA | Yes |
Practice location
3300 Main StSpringfield, MA 01107-1112
Phone 413-794-5555 · Fax 413-794-7140
Mailing address
280 Chestnut Street2nd Fl
Springfield, MA 01199-1001
Phone 413-794-5700
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All 66 Psychiatric/Mental Health Nurse Practitioner providers in Springfield · All 9,504 providers in Springfield
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