Individual provider · Type 1 NPI
Linda D. Revanche
Home Health Registered Nurse · Mattapan, MA
NPI number
1346712817
Active
Practice location
19 Ledgebrook Rd Apt 1
Mattapan, MA 02126-2748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | RN2328268 (MA) |
| Home Health Registered Nurse Primary | 163WH0200X | RN2328268 (MA) |
Home Health Registered Nurse: Definition to come...
About NPI 1346712817
Linda D. Revanche's National Provider Identifier is 1346712817, issued on Dec 21, 2018. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Mattapan, MA. The record was last updated on Dec 21, 2018.