Individual
BRIAN R. DOUCETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
164 SILVER LAKE AVE, WAKEFIELD, RI 02879-4224
(401) 744-4900
Mailing address
164 SILVER LAKE AVE, WAKEFIELD, RI 02879-4224
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2332347
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110170927A
—
MA
Enumeration date
12/16/2020
Last updated
09/20/2022
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