Linda D Revanche
Registered Nurse, Home Health in Mattapan, Massachusetts
1346712817- Practice location
- 19 Ledgebrook RD Apt 1, Mattapan, MA 02126-2748
- Phone
- 857-251-4008
- Fax
- —
- Last updated
- December 21, 2018
Linda D Revanche is a Registered Nurse, Home Health based in Mattapan, MA. Linda D Revanche practices in Mattapan, MA. The NPI Number for Linda D Revanche is 1346712817 and holds a License No. RN2328268 (MA). The current practice location address for Linda D Revanche is 19 Ledgebrook RD Apt 1, Mattapan, MA 02126-2748 and can be reached out via phone at 857-251-4008.
Provider Profile Details
- NPI Number
- 1346712817
- Provider Name
- Linda D Revanche
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 19 Ledgebrook RD Apt 1, Mattapan, MA 02126-2748
- Phone Number
- 857-251-4008
- Primary Taxonomy
- Registered Nurse, Home Health · 163WH0200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 21, 2018
- Last Update Date
- December 21, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19 Ledgebrook RD Apt 1
Mattapan, MA 02126-2748 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126-2748
- Phone Number
- 857-251-4008
Provider Business Mailing Address Details
- Address
- 19 Ledgebrook RD Apt 1
Mattapan, MA 02126-2748 - City
- Mattapan
- State
- MA
- Zip
- 02126-2748
- Phone Number
- 857-251-4008
License Information
- License Number (1)
- RN2328268
- License State (1)
- MA
- Taxonomy (1)
- Registered Nurse, Gerontology · 163WG0600X
- License Number (2)
- RN2328268
- License State (2)
- MA
- Taxonomy (2)
- Registered Nurse, Home Health · 163WH0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Linda D Revanche?
The NPI number of Linda D Revanche is 1346712817. It was assigned on December 21, 2018 and is currently active in the NPPES registry.
What is the specialty of Linda D Revanche?
Linda D Revanche is registered under the primary taxonomy Registered Nurse, Home Health (code 163WH0200X), licensed in MA under license number RN2328268.
Where does Linda D Revanche practice?
The practice location is 19 Ledgebrook RD Apt 1, Mattapan, MA 02126-2748. The office can be reached at 857-251-4008 (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 1346712817 directly on the NPPES registry website.