Linda D Revanche
Linda D Revanche is a Gerontology Registered Nurse in Mattapan, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.
- Licensed in
- MA
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
19 Ledgebrook Rd Apt 1Mattapan, MA 02126-2748
Phone: (857) 251-4008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Registered Nurse (primary) | Taxonomy 163WH0200X · Licence RN2328268 (MA) |
|---|---|
| Gerontology Registered Nurse | Taxonomy 163WG0600X · Licence RN2328268 (MA) |
Record details
| NPI number | 1346712817 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 21, 2018 |
| Last updated in NPPES | December 21, 2018 |
| Mailing address | 19 Ledgebrook Rd Apt 1, Mattapan, MA 02126-2748 |