Healthcare Provider Details

I. General information

NPI: 1962277012
Provider Name (Legal Business Name): RACHEL ANN LAMONTAGNE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2023
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 FAUNCE CORNER RD UNIT 320
DARTMOUTH MA
02747-1276
US

IV. Provider business mailing address

45 RESNIK RD STE 205
PLYMOUTH MA
02360-7223
US

V. Phone/Fax

Practice location:
  • Phone: 508-644-0255
  • Fax: 508-283-3176
Mailing address:
  • Phone: 508-746-5060
  • Fax: 508-746-8069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2287127
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: