Individual
MRS. PATRICIA RITA LAVALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
61 WILLISTON WAY, PAWTUCKET, RI 02861-3528
(401) 640-5909
Mailing address
61 WILLISTON WAY, PAWTUCKET, RI 02861-3528
(401) 640-5909
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
268343
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0708372
MASS HEALTH PROVIDER NUMB
MA
01
—
268343
MASS RN LICENSE #
MA
01
—
RN35980
RI RN LISCENSE #
RI
Enumeration date
07/16/2007
Last updated
07/25/2022
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