Provider Demographics
NPI:1932927597
Name:CARNEY, ELISSA G
Entity type:Individual
Prefix:
First Name:ELISSA
Middle Name:G
Last Name:CARNEY
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 1:425 SOUTHAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-9506
Mailing Address - Country:US
Mailing Address - Phone:413-237-8480
Mailing Address - Fax:
Practice Address - Street 1:425 SOUTHAMPTON RD
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-9506
Practice Address - Country:US
Practice Address - Phone:413-237-8480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula