Provider Demographics
NPI:1558128595
Name:NOLASCO, JONARD D (RN)
Entity Type:Individual
Prefix:MR
First Name:JONARD
Middle Name:D
Last Name:NOLASCO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 MERCURY CT
Mailing Address - Street 2:
Mailing Address - City:W SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-3207
Mailing Address - Country:US
Mailing Address - Phone:413-297-7027
Mailing Address - Fax:
Practice Address - Street 1:55 MERCURY CT
Practice Address - Street 2:
Practice Address - City:W SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-3207
Practice Address - Country:US
Practice Address - Phone:413-297-7027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN262373163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical