Healthcare Provider Details

I. General information

NPI: 1639095151
Provider Name (Legal Business Name): GAIL-ANN ANGUS-DAUPHIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 AUBURN ST
WHITMAN MA
02382-1717
US

IV. Provider business mailing address

960 AUBURN ST
WHITMAN MA
02382-1717
US

V. Phone/Fax

Practice location:
  • Phone: 781-242-0522
  • Fax:
Mailing address:
  • Phone: 781-242-0522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2322778
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: