NPI Code Details Logo

NPI 1477479269

NPI 1477479269 : PRN NURSE AT YOUR SERVICE : RANDOLPH, MA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1477479269
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PRN NURSE AT YOUR SERVICE 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/25/2026
-----------------------------------------------------
    Last Update Date     |    06/25/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    16 THOMAS PATTEN DR UNIT 927 
-----------------------------------------------------
    City                 |    RANDOLPH
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    02368-6802
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    339-215-9991
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    16 THOMAS PATTEN DR UNIT 927 
-----------------------------------------------------
    City                 |    RANDOLPH
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    02368-6802
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    339-215-9991
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     LOURDINE  LAMBRE 
-----------------------------------------------------
    Credential           |    RN
-----------------------------------------------------
    Telephone            |    857-919-2252
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.