| Marissa Provost, | |
|
759 Chestnut St, Springfield, MA 01199-1001 | |
| (413) 795-0754 | |
| Not Available |
| Full Name | Marissa Provost |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 759 Chestnut St, Springfield, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942048475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN2301689 (Massachusetts) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Provost, 14 Bailey Rd, Enfield, CT 06082-4805 Ph: (413) 654-6153 | Marissa Provost, 759 Chestnut St, Springfield, MA 01199-1001 Ph: (413) 795-0754 |
Charles E Brown, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 759 Chestnut St, Springfield, MA 01199 Phone: 413-794-3520 | |
Sarah Mounsey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 908 Allen St, Springfield, MA 01118 Phone: 781-407-7713 Fax: 781-407-0998 | |
Nathanael L Rosario, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 908 Allen St, Springfield, MA 01118 Phone: 413-796-7494 Fax: 781-407-0998 | |
Barbara J Elliott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 271 Carew St, Springfield, MA 01104 Phone: 413-748-9000 | |
Jennifer Rawleigh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 908 Allen St, Springfield, MA 01118 Phone: 781-407-7713 Fax: 781-407-0998 | |
William Larareo, ORNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 908 Allen St, Springfield, MA 01118 Phone: 413-796-7494 Fax: 413-796-7498 | |
Carl Bordas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 908 Allen St, Springfield, MA 01118 Phone: 413-796-7494 Fax: 413-796-7498 |