Provider Demographics
NPI:1083864581
Name:RABY, JANINE MARIE (RN)
Entity Type:Individual
Prefix:MS
First Name:JANINE
Middle Name:MARIE
Last Name:RABY
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 1:15 WEST ST
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1303
Mailing Address - Country:US
Mailing Address - Phone:978-774-5453
Mailing Address - Fax:
Practice Address - Street 1:15 WEST ST
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-1303
Practice Address - Country:US
Practice Address - Phone:978-774-5453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-22
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA195120163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0717975OtherMASS HEALTH PROVIDER NUMBER