Imari Ashley Duarte, LPN

Individual provider Active NPI Licensed Practical Nurse · New Bedford, MA

NPI 1467285015 · NPPES record last updated Aug 20, 2024

Key facts

NPI
1467285015
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LN1001601 (MA)
Practice address
251 Purchase St
New Bedford, MA 02740-8324
Phone
(774) 305-1110
NPI assigned
Aug 20, 2024
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

LicenseStateTypeSpecialty
LN1001601MAMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LN1001601 MA Yes

Addresses

Primary practice location

251 Purchase St
New Bedford, MA 02740-8324

Mailing address

251 Purchase St
New Bedford, MA 02740-8324
Phone (774) 305-1110

Other providers in New Bedford, MA

All providers in New Bedford, MA · Licensed Practical Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.