Provider Demographics
NPI:1568351492
Name:BOISVERT, CASEY (RN)
Entity type:Individual
Prefix:MS
First Name:CASEY
Middle Name:
Last Name:BOISVERT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 COTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-1669
Mailing Address - Country:US
Mailing Address - Phone:978-710-1707
Mailing Address - Fax:
Practice Address - Street 1:34 COTTONWOOD DR
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-1669
Practice Address - Country:US
Practice Address - Phone:978-710-1707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2336914163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse