person
Pasquina Revanche
Licensed Practical Nurse in Brockton, Massachusetts
NPI 1083315477

Pasquina Revanche is a Licensed Practical Nurse based in Brockton, MA. Pasquina Revanche practices in Brockton, MA. The NPI Number for Pasquina Revanche is 1083315477 and holds a License No. LN94663 (Massachusetts).

The current practice location address for Pasquina Revanche is 315 Belair St, Brockton, MA and can be reached out via phone at 617-849-0535. You can also correspond with Pasquina Revanche through the mailing address at 315 BELAIR ST, BROCKTON, MA - 02301-2029 (mailing address contact number: 617-849-0535).

Location: 315 Belair St, Brockton, MA, 02301-2029
person
Provider Profile Details
NPI Number
1083315477
Provider Name
Pasquina Revanche
Credential
Provider Entity Type
Individual
Gender
Female
Address
315 Belair St, Brockton, MA, 02301-2029
Phone Number
617-849-0535
Fax Number
Provider Enumeration Date
03/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
315 Belair St
City
State
Zip
02301-2029
Phone Number
617-849-0535
Fax Number
person
Provider Business Mailing Address Details
Address
315 Belair St
City
State
Zip
02301-2029
Phone Number
617-849-0535
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
LN94663 (Massachusetts)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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