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PASQUINA REVANCHE
NPI 1083315477
Licensed Practical Nurse in Brockton, MA

Active since March 13, 2023
315 BELAIR ST, BROCKTON, MA 02301(617) 849-0535 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pasquina Revanche NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PASQUINA REVANCHE (NPI 1083315477) is an individual licensed practical nurse in Brockton, Massachusetts, licensed in Massachusetts (LN94663) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1083315477
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NamePASQUINA REVANCHE
Location Address315 BELAIR STBrockton, MA 02301-2029
Mailing Address315 Belair StBrockton, MA 02301-2029 · (617) 849-0535
Phone(617) 849-0535
Sole ProprietorNo
Enumeration DateMarch 13, 2023
NPPES CertifiedMarch 13, 2023
✔ NPI 1083315477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MA · LN94663
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
315 BELAIR ST, Brockton, MA 02301
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pasquina Revanche's NPI number?

The NPI number for Pasquina Revanche is 1083315477. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Where is Pasquina Revanche located?

Pasquina Revanche practices at 315 Belair St, Brockton, MA 02301. The listed phone number is (617) 849-0535.

What is Pasquina Revanche's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Pasquina Revanche was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.