MEDICARE: MRS. DOMINIQUE BADIO RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WA2000X	Administrator Registered Nurse	RN-2376523	MA

General Provider Information

NPI Number	:	1306054853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DOMINIQUE BADIO RN

Provider Business Mailing Address
First Line	:	679 HICKORY RD
Second Line	:
City	:	NORTH ATTLEBORO
State	:	MA
Zip	:	02760-4421
Country	:	US
Telephone Number	:	781-308-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	679 HICKORY RD
Second Line	:
City	:	NORTH ATTLEBORO
State	:	MA
Zip	:	02760-4421
Country	:	US
Telephone Number	:	781-885-0861
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	04/09/2024

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