Kaileen Riley Canon, FNP-C | |
234 Russell St # 7, Hadley, MA 01035-3534 | |
(413) 586-6020 | |
Not Available |
Full Name | Kaileen Riley Canon |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 234 Russell St # 7, Hadley, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033843859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | F07221086 (Massachusetts) | Primary |
Entity Name | Cd Practice Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295787919 PECOS PAC ID: 2567359839 Enrollment ID: O20040302000290 |
Mailing Address | Practice Location Address |
---|---|
Kaileen Riley Canon, FNP-C 66 Mountain St, Haydenville, MA 01039-9723 Ph: (413) 588-8786 | Kaileen Riley Canon, FNP-C 234 Russell St # 7, Hadley, MA 01035-3534 Ph: (413) 586-6020 |
Kathleen M Sylvester, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 234 Russell St Ste 7, Hadley, MA 01035 Phone: 413-586-6020 Fax: 413-584-0286 | |
Meaghan Killeen, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 234 Russell St, Hadley, MA 01035 Phone: 413-586-6020 | |
Amy Zurba, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 Russell St # 7, Hadley, MA 01035 Phone: 413-586-6020 |