Healthcare Provider Details

I. General information

NPI: 1205300738
Provider Name (Legal Business Name): MARGARET LETOURNEAU RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2019
Last Update Date: 01/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 MAIN ST
WOONSOCKET RI
02895-3123
US

IV. Provider business mailing address

PO BOX 1700
WOONSOCKET RI
02895-0856
US

V. Phone/Fax

Practice location:
  • Phone: 401-235-7000
  • Fax: 401-767-4516
Mailing address:
  • Phone: 401-235-7000
  • Fax: 401-767-4516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN26950
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: