Menezes, Myrna

Menezes, Myrna is an individual health care provider with primary practice located at 3 Bayberry Ln , Randolph MA 02368-5101. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Menezes, Myrna can be contacted via phone (339) 788-1049.

Contact Information

Primary practice address
3 Bayberry Ln Randolph MA 02368-5101
Phone: (339) 788-1049
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LN88760 Massachusetts

Profile Details

NPI number 1235888074
LBN Legal business name Menezes, Myrna
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2022
Last updated Apr 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235888074 NPPES
Massachusetts Other S98090805 DRIVER'S LICENSE

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