Healthcare Provider Details

I. General information

NPI: 1336180850
Provider Name (Legal Business Name): LINDA DURAND N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 02/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 CLINTON ST THUNDERMIST HEALTH CENTER
WOONSOCKET RI
02895-3207
US

IV. Provider business mailing address

450 CLINTON ST THUNDERMIST HEALTH CENTER
WOONSOCKET RI
02895-3207
US

V. Phone/Fax

Practice location:
  • Phone: 401-767-4100
  • Fax: 401-235-6899
Mailing address:
  • Phone: 401-767-4100
  • Fax: 401-235-6899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number196962
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: