Whalio Doctors

NPI 1013462332

Danielle Elisabeth Deserres, PAC

Practitioner Medical Physician Assistant Springfield, MA

Practice location

Address
3300 Main Street, Springfield, MA 01107-1112
Phone
(413) 794-5600
Fax
(413) 794-7297
Mailing address
280 Chestnut Street 2nd Fl, Springfield, MA 01199-1001

Registered specialties

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA5841 (MA)

Registry record

NPI
1013462332
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Aug 2016
Record last updated
8 Nov 2019

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.