Active NPIIndividual providerSole proprietor

Keona Gavin, RN

Registered Nurse in Worcester, Massachusetts

NPI Number1124482526
Practice location
86 Massasoit RD, Worcester, MA 01604-3361
Fax
—
Last updated
April 12, 2016

Keona Gavin is a Registered Nurse based in Worcester, MA. Keona Gavin practices in Worcester, MA and has the professional credentials of RN. The NPI Number for Keona Gavin is 1124482526 and holds a License No. RN2307028 (MA). The current practice location address for Keona Gavin is 86 Massasoit RD, Worcester, MA 01604-3361 and can be reached out via phone at 508-860-1179.

Provider Profile Details

NPI Number
1124482526
Provider Name
Keona Gavin
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
86 Massasoit RD, Worcester, MA 01604-3361
Phone Number
508-860-1179
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 12, 2016
Last Update Date
April 12, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
86 Massasoit RD
Worcester, MA 01604-3361
Zip
01604-3361
Phone Number
508-860-1179
Worcester, MA 01604Get directions →

Provider Business Mailing Address Details

Address
86 Massasoit RD
Worcester, MA 01604-3361
City
Worcester
State
MA
Zip
01604-3361
Phone Number
508-860-1179

License Information

License Number
RN2307028
License State
MA
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Registered Nurses near Worcester, MA

View all Registered Nurses in Worcester →

Frequently Asked Questions

What is the NPI number of Keona Gavin, RN?

The NPI number of Keona Gavin, RN is 1124482526. It was assigned on April 12, 2016 and is currently active in the NPPES registry.

What is the specialty of Keona Gavin, RN?

Keona Gavin, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number RN2307028.

Where does Keona Gavin, RN practice?

The practice location is 86 Massasoit RD, Worcester, MA 01604-3361. The office can be reached at 508-860-1179 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124482526 directly on the NPPES registry website.

Browse related providers