Provider Demographics
NPI:1215015326
Name:TOURANGEAU, JUNE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:JUNE
Middle Name:
Last Name:TOURANGEAU
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:JUNE
Other - Middle Name:
Other - Last Name:LAFERRIERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HIGH SERVICE AVENUE
Mailing Address - Street 2:ATTN ROSE SOARES 4TH FLOOR MARIAN HALL
Mailing Address - City:N PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904
Mailing Address - Country:US
Mailing Address - Phone:401-456-3649
Mailing Address - Fax:
Practice Address - Street 1:21 PEACE ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02907
Practice Address - Country:US
Practice Address - Phone:401-456-4310
Practice Address - Fax:401-421-8449
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILPN 06584164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse