Healthcare Provider Details

I. General information

NPI: 1760765499
Provider Name (Legal Business Name): RACHEL ELISABETH PAQUETTE RESENDES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2011
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 FAUNCE CORNER MALL RD UNIT 220
DARTMOUTH MA
02747-1295
US

IV. Provider business mailing address

88 FAUNCE CORNER MALL RD UNIT 220
DARTMOUTH MA
02747-1295
US

V. Phone/Fax

Practice location:
  • Phone: 508-938-9670
  • Fax: 508-938-9652
Mailing address:
  • Phone: 508-938-9670
  • Fax: 508-938-9652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN281194
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN281194
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN281194
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: