Provider Demographics
NPI:1689257743
Name:LEETE, LUCY (RN)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:
Last Name:LEETE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 HAWLEY RD
Mailing Address - Street 2:
Mailing Address - City:ASHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01330-9606
Mailing Address - Country:US
Mailing Address - Phone:413-522-5117
Mailing Address - Fax:
Practice Address - Street 1:151 SOUTH ST
Practice Address - Street 2:
Practice Address - City:CUMMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01026-9501
Practice Address - Country:US
Practice Address - Phone:888-655-0289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN217837163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health