Healthcare Provider Details

I. General information

NPI: 1053449595
Provider Name (Legal Business Name): LOUISE DURAND R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 W MAIN ST
NORTON MA
02766-1248
US

IV. Provider business mailing address

288 WILMARTH ST
ATTLEBORO MA
02703-5236
US

V. Phone/Fax

Practice location:
  • Phone: 508-285-9400
  • Fax: 508-285-6573
Mailing address:
  • Phone: 508-285-9400
  • Fax: 508-285-6573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number206355
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: