MANISHA DUCASSE
NPI 1033980685
Registered Nurse - General Practice in Medford, MA
Active since January 12, 2024
About Manisha Ducasse NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANISHA DUCASSE (NPI 1033980685) is an individual general practice provider in Medford, Massachusetts, licensed in Massachusetts (RN2373418) and active in the NPI registry since January 2024.
NPPES Registry Identity
NPI1033980685
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameMANISHA DUCASSE
Location Address243 PARK STMedford, MA 02155-2667
Mailing Address243 Park StMedford, MA 02155-2667 · (781) 354-6889
Phone(781) 354-6889
Sole ProprietorYes
Enumeration DateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
✔ NPI 1033980685 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in MA · RN2373418
243 PARK ST, Medford, MA 02155
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033980685, enumerated as an "individual" on January 12, 2024.
The provider is located at 243 PARK ST MEDFORD, MA 02155 and the phone number is (781) 354-6889.
Registered Nurse with taxonomy code 163WG0000X and a focus in General Practice.
