Provider Demographics
NPI:1396465340
Name:FEVRIER, CATHLEEN (LPN)
Entity type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:
Last Name:FEVRIER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 WHITE ST
Mailing Address - Street 2:
Mailing Address - City:RAYNHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02767-5700
Mailing Address - Country:US
Mailing Address - Phone:781-300-1550
Mailing Address - Fax:
Practice Address - Street 1:218 WHITE ST
Practice Address - Street 2:
Practice Address - City:RAYNHAM
Practice Address - State:MA
Practice Address - Zip Code:02767-5700
Practice Address - Country:US
Practice Address - Phone:781-300-1550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN86145164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse