Heather Bibeault, R.N.

Individual provider Active NPI Registered Nurse · Swansea, MA

NPI 1821344342 · NPPES record last updated Aug 2, 2012

Key facts

NPI
1821344342
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
2280195 (MA)
Practice address
463 Swansea Mall Dr
Swansea, MA 02777-4119
Phone
(508) 324-1060
NPI assigned
Aug 2, 2012
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2280195MAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2280195 MA Yes

Addresses

Primary practice location

463 Swansea Mall Dr
Swansea, MA 02777-4119

Mailing address

463 Swansea Mall Dr
Swansea, MA 02777-4119

Other providers in Swansea, MA

All providers in Swansea, MA · Registered Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.