Active NPIIndividual providerSole proprietor

Wibie S Altidor, RN

Registered Nurse in Brockton, Massachusetts

NPI Number1427560796
Practice location
40 Herrod Ave Unit 1, Brockton, MA 02301-2359
Fax
—
Last updated
May 21, 2026

Wibie S Altidor is a Registered Nurse based in Brockton, MA. Wibie S Altidor practices in Brockton, MA and has the professional credentials of RN. The NPI Number for Wibie S Altidor is 1427560796 and holds a License No. RN10008490 (MA). The current practice location address for Wibie S Altidor is 40 Herrod Ave Unit 1, Brockton, MA 02301-2359 and can be reached out via phone at 781-883-6172.

Provider Profile Details

NPI Number
1427560796
Provider Name
Wibie S Altidor
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
40 Herrod Ave Unit 1, Brockton, MA 02301-2359
Phone Number
781-883-6172
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 26, 2017
Last Update Date
May 21, 2026
Certification Date
May 21, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Herrod Ave Unit 1
Brockton, MA 02301-2359
Zip
02301-2359
Phone Number
781-883-6172
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
40 Herrod Ave Unit 1
Brockton, MA 02301-2359
City
Brockton
State
MA
Zip
02301-2359
Phone Number
781-883-6172

License Information

License Number (1)
RN10008490
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X · Primary
License Number (2)
LN9400
License State (2)
MA
Taxonomy (2)
Licensed Practical Nurse · 164W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Wibie S Altidor, RN?

The NPI number of Wibie S Altidor, RN is 1427560796. It was assigned on October 26, 2017 and is currently active in the NPPES registry.

What is the specialty of Wibie S Altidor, RN?

Wibie S Altidor, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number RN10008490.

Where does Wibie S Altidor, RN practice?

The practice location is 40 Herrod Ave Unit 1, Brockton, MA 02301-2359. The office can be reached at 781-883-6172 (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 1427560796 directly on the NPPES registry website.

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