Individual
LYNN MORRISEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6200
(401) 455-6689
Mailing address
41 INGRAHAM ST, ATTLEBORO, MA 02703-5005
(508) 930-4683
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
172073
MA
363LA2200X
Adult Health Nurse Practitioner
APRN02459
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
172073
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN02459
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110074576A
—
MA
05
—
LM68216
—
RI
01
—
NP557201
MEDICARE PTAN
MA
01
—
NP557202
MEDICARE PTAN
RI
Enumeration date
12/12/2006
Last updated
08/21/2023
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