Vaillant, Anne L

Vaillant, Anne L is an individual health care provider with primary practice located at 17 Research Drive , Amherst MA 01002. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Vaillant, Anne L can be contacted via phone (413) 549-8400.

Contact Information

Primary practice address
17 Research Drive Amherst MA 01002
Phone: (413) 549-8400
Fax: (413) 549-8409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 206006 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 206006 Massachusetts

Profile Details

NPI number 1033114632
LBN Legal business name Vaillant, Anne L
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jan 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033114632 NPPES
Massachusetts MEDICAID 110017490A

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