Healthcare Provider Details

I. General information

NPI: 1285540823
Provider Name (Legal Business Name): BARBARA DAMOAH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MAY ST
ATTLEBORO MA
02703-5520
US

IV. Provider business mailing address

45 GRIZZLY DR
RUTLAND MA
01543-1481
US

V. Phone/Fax

Practice location:
  • Phone: 508-761-8500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN2389647
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: