Individual
MRS. ELIZABETH ANN FOURNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1339 SOMERSET AVE, TAUNTON, MA 02780-5077
(508) 823-7065
Mailing address
1339 SOMERSET AVE, TAUNTON, MA 02780-5077
(508) 823-7065
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
57940
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0710385
MASSHEALTH PROVIDER
MA
Enumeration date
04/03/2007
Last updated
07/08/2007
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