Provider Demographics
NPI:1053451500
Name:VINARD, JUNE M (LPN)
Entity Type:Individual
Prefix:MRS
First Name:JUNE
Middle Name:M
Last Name:VINARD
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 1:100 EVERETT AVE
Mailing Address - Street 2:SUITE 16C
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-2309
Mailing Address - Country:US
Mailing Address - Phone:617-887-4600
Mailing Address - Fax:617-887-4647
Practice Address - Street 1:100 EVERETT AVE
Practice Address - Street 2:SUITE 16C
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-2309
Practice Address - Country:US
Practice Address - Phone:617-887-4600
Practice Address - Fax:617-887-4647
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA58631164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse