NPI 1003825316

Linda Theriault, PAC

Practitioner Medical Physician Assistant Springfield, MA

Practice location

Address: 3300 Main St 2nd Floor Suite a, Springfield, MA 01199-1002
Phone: (413) 794-7246
Fax: (413) 794-0198
Mailing address: 280 Chestnut St 2nd Floor, Springfield, MA 01199-1000

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 694 (MA)

Other Physician Assistant providers in Massachusetts →

Registry record

NPI: 1003825316
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2006
Record last updated: 18 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.