Provider Demographics
NPI:1033418116
Name:MAURETTI, DARLENE LOUISE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:LOUISE
Last Name:MAURETTI
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 1:116 FAWN RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:MA
Mailing Address - Zip Code:02726-1529
Mailing Address - Country:US
Mailing Address - Phone:508-642-1405
Mailing Address - Fax:
Practice Address - Street 1:116 FAWN RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:MA
Practice Address - Zip Code:02726-1529
Practice Address - Country:US
Practice Address - Phone:508-642-1405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2016-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILPN11082164W00000X
MALN62477164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse