Individual
DEANNA ELIZABETH CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
166 CENTER ST, ASHBURNHAM, MA 01430-1613
(978) 860-6527
Mailing address
166 CENTER ST, ASHBURNHAM, MA 01430-1613
(978) 860-6527
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
MA
Enumeration date
05/28/2021
Last updated
05/28/2021
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