Individual
DENISE CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 AIRPORT RD, FITCHBURG, MA 01420-8142
(978) 343-6300
(978) 343-2803
Mailing address
155 AIRPORT RD, FITCHBURG, MA 01420-8142
(978) 343-6300
(978) 343-2803
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN46242
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LN46242
LICENSED PRACTICAL NURSE
MA
Enumeration date
05/05/2021
Last updated
05/05/2021
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