Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
MS. NANCY ELIZABETH GENDREAU NP
NPI 1700841764
Nurse Practitioner - Gerontology in Brockton, MA
Active since April 20, 2006
About Ms. Nancy Elizabeth Gendreau Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. NANCY ELIZABETH GENDREAU NP (NPI 1700841764) is an individual gerontology provider in Brockton, Massachusetts, licensed in Massachusetts (181511) and active in the NPI registry since April 2006.
NPPES Registry Identity
NPI1700841764
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMS. NANCY ELIZABETH GENDREAUCredential: NP
Location Address940 BELMONT STBrockton, MA 02301-5596
Mailing Address119 Queen StSomerset, MA 02726-5444 · (508) 567-1664
Phone(508) 583-4500
Fax(774) 826-2622
Sole ProprietorNo
Enumeration DateApril 20, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1700841764 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MA · 181511
940 BELMONT ST, Brockton, MA 02301
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Primary Care)
940 BELMONT ST
BROCKTON, MA 02301
BROCKTON, MA 02301
Nurse Practitioner (Adult Health)
940 BELMONT ST, PRIMARY CARE CLINIC (11A)
BROCKTON, MA 02301
BROCKTON, MA 02301
Dietitian, Registered
940 BELMONT ST, NUTRITION & FOOD SERVICE (120)
BROCKTON, MA 02301
BROCKTON, MA 02301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700841764, enumerated as an "individual" on April 20, 2006.
The provider is located at 940 BELMONT ST BROCKTON, MA 02301 and the phone number is (508) 583-4500.
Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.
