NPI 1083315477

Pasquina Revanche

Practitioner Licensed Practical Nurse Brockton, MA

Practice location

Address: 315 Belair St, Brockton, MA 02301-2029
Phone: (617) 849-0535

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LN94663 (MA)

Other Licensed Practical Nurse providers in Massachusetts →

Registry record

NPI: 1083315477
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Mar 2023
Record last updated: 13 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.