Healthcare Provider Details

I. General information

NPI: 1679366165
Provider Name (Legal Business Name): MAURA ROBERTA RATCHFORD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 JACKSON ST
LOWELL MA
01852-2103
US

IV. Provider business mailing address

257 ANDOVER ST
LOWELL MA
01852-1438
US

V. Phone/Fax

Practice location:
  • Phone: 978-937-9700
  • Fax:
Mailing address:
  • Phone: 978-337-1231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN131838
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: