| Alisha Canoa, | |
|
1109 Granby Rd, Chicopee, MA 01020 | |
| (413) 683-0159 | |
| Not Available |
| Full Name | Alisha Canoa |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 1109 Granby Rd, Chicopee, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679319438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 260298 (Massachusetts) | Primary |
| Entity Name | Center For Human Development, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912099219 PECOS PAC ID: 7618950874 Enrollment ID: O20041129000514 |
| Mailing Address | Practice Location Address |
|---|---|
| Alisha Canoa, 1109 Granby Rd, Chicopee, MA 01020-1568 Ph: () - | Alisha Canoa, 1109 Granby Rd, Chicopee, MA 01020 Ph: (413) 683-0159 |
Gretchen Baalman, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 505 Front St, Chicopee, MA 01013 Phone: 413-420-2222 Fax: 413-539-9472 | |
Mr. Sean Lavalley, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 720 Meadow St, Chicopee, MA 01013 Phone: 413-594-3464 | |
Steven Osei-mireku, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 628 Center St, Chicopee, MA 01013 Phone: 413-746-0051 | |
Amanda Mckeon, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1109 Granby Rd, Chicopee, MA 01020 Phone: 413-887-2947 | |
Haruna Bature, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 59 New Ludlow Rd Apt 6a, Chicopee, MA 01020 Phone: 862-333-5060 | |
Mrs. Rosemary Costa, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 165 Applewood Dr, Chicopee, MA 01022 Phone: 413-593-3391 | |
Pamela Lee Macdonald, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 628 Center St, Chicopee, MA 01013 Phone: 413-746-0051 |