Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mariolette M Gourgue

Individual provider Licensed Practical Nurse · NPI 1467395806

Mariolette M Gourgue is a Licensed Practical Nurse in Brockton, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2026

Practice location Address checks out

35 Baker St
Brockton, MA 02302-4302
Phone: (857) 207-5175
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LN91133 (MA)

Record details

NPI number1467395806
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 10, 2026
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing address35 Baker St, Brockton, MA 02302-4302

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