Provider Demographics
NPI:1578723029
Name:PRATT, EMELDA T
Entity Type:Individual
Prefix:
First Name:EMELDA
Middle Name:T
Last Name:PRATT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EMELDA
Other - Middle Name:T
Other - Last Name:PRATT
Other - Suffix:III
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:43 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:BELCHERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01007-9739
Mailing Address - Country:US
Mailing Address - Phone:413-256-8494
Mailing Address - Fax:
Practice Address - Street 1:43 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:BELCHERTOWN
Practice Address - State:MA
Practice Address - Zip Code:01007-9739
Practice Address - Country:US
Practice Address - Phone:413-256-8494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAA376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide