Healthcare Provider Details

I. General information

NPI: 1912177981
Provider Name (Legal Business Name): MARGARET ANNE FOURNIER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2008
Last Update Date: 03/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

636 ROCK ST
FALL RIVER MA
02720-3438
US

IV. Provider business mailing address

25 HOBSON AVE
TIVERTON RI
02878-2015
US

V. Phone/Fax

Practice location:
  • Phone: 508-675-5778
  • Fax:
Mailing address:
  • Phone: 508-675-5778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number120195
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: