Individual
MISS LOUDELYNE PETIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
94 S MAIN ST, MIDDLEBORO, MA 02346-2123
(774) 373-2408
Mailing address
21 SCHOOL ST, QUINCY, MA 02169-6640
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN268153
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN268153
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407254055
ALLIED HEALTH
MA
Enumeration date
08/04/2017
Last updated
05/08/2025
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