Individual provider · Type 1 NPI

Pasquina Revanche

Licensed Practical Nurse · Brockton, MA

NPI number 1083315477 Active

Practice location

315 Belair St
Brockton, MA 02301-2029

Call (617) 849-0535 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLN94663 (MA)

Licensed Practical Nurse: 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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About NPI 1083315477

Pasquina Revanche's National Provider Identifier is 1083315477, issued on Mar 13, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Brockton, MA. The record was last updated on Mar 13, 2023.