Provider Demographics
NPI:1760164529
Name:NAMER, IRENE
Entity Type:Individual
Prefix:MISS
First Name:IRENE
Middle Name:
Last Name:NAMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1371 BERKSHIRE SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01257
Mailing Address - Country:US
Mailing Address - Phone:413-854-2426
Mailing Address - Fax:
Practice Address - Street 1:1371 BERKSHIRE SCHOOL RD
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:MA
Practice Address - Zip Code:01257
Practice Address - Country:US
Practice Address - Phone:413-854-2426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty