Active NPIIndividual provider

Mrs. Manoucheka Desormes-Ignace

Nurse Practitioner, Family in Southborough, Massachusetts

NPI Number1962350645
Practice location
24 Newton St, Southborough, MA 01772-1215
Fax
508-453-8152
Last updated
May 20, 2026

Manoucheka Desormes-Ignace is a Nurse Practitioner, Family based in Southborough, MA. Manoucheka Desormes-Ignace practices in Southborough, MA. The NPI Number for Manoucheka Desormes-Ignace is 1962350645 and holds a License No. RN252988 (MA). The current practice location address for Manoucheka Desormes-Ignace is 24 Newton St, Southborough, MA 01772-1215 and can be reached out via phone at 508-460-3250 and via fax at 508-453-8152.

Provider Profile Details

NPI Number
1962350645
Provider Name
Manoucheka Desormes-Ignace
Provider Entity Type
Individual
Gender
Female
Address
24 Newton St, Southborough, MA 01772-1215
Phone Number
508-460-3250
Fax Number
508-453-8152
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
March 19, 2026
Last Update Date
May 20, 2026
Certification Date
May 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Newton St
Southborough, MA 01772-1215
Zip
01772-1215
Phone Number
508-460-3250
Fax Number
508-453-8152
Southborough, MA 01772Get directions →

Provider Business Mailing Address Details

Address
24 Newton St
Southborough, MA 01772-1215
City
Southborough
State
MA
Zip
01772-1215
Phone Number
508-460-3250
Fax Number
508-453-8152

License Information

License Number
RN252988
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

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 Mrs. Manoucheka Desormes-Ignace?

The NPI number of Mrs. Manoucheka Desormes-Ignace is 1962350645. It was assigned on March 19, 2026 and is currently active in the NPPES registry.

What is the specialty of Mrs. Manoucheka Desormes-Ignace?

Mrs. Manoucheka Desormes-Ignace is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN252988.

Where does Mrs. Manoucheka Desormes-Ignace practice?

The practice location is 24 Newton St, Southborough, MA 01772-1215. The office can be reached at 508-460-3250 (phone) or 508-453-8152 (fax).

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 1962350645 directly on the NPPES registry website.

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