Joanne Breau, LPN
Individual provider Active NPI Licensed Practical Nurse · Manchester, MA
NPI 1083095202 · NPPES record last updated Jun 12, 2015
Key facts
- NPI
- 1083095202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LN67076 (MA)
- Practice address
- 52 Central St
Manchester, MA 01944-1362 - Phone
- (978) 852-1616
- NPI assigned
- Jun 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN67076 | MA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LN67076 | MA | Yes |
Addresses
Primary practice location
52 Central St
Manchester, MA 01944-1362
Mailing address
52 Central St
Manchester, MA 01944-1362
Phone (978) 852-1616
Other providers in Manchester, MA
- Steven A Barrett
- Suzanne Baughn
- Gregory A Bazylewicz
- Blue Sky Holding'S Inc.
- Holly Brabson-Halsey
- Emily Rose Brown
- Tanner William Brown
- Gail Bryson
- Heather Ann Burgess
- Erin Patricia Bursey
All providers in Manchester, MA · Licensed Practical Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.