Provider Demographics
NPI:1407481864
Name:LORQUET, NATHACHA (MSN, APRN, A-GNP-C)
Entity Type:Individual
Prefix:
First Name:NATHACHA
Middle Name:
Last Name:LORQUET
Suffix:
Gender:F
Credentials:MSN, APRN, A-GNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-2362
Mailing Address - Country:US
Mailing Address - Phone:617-256-3837
Mailing Address - Fax:
Practice Address - Street 1:318 PEARL ST
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-2362
Practice Address - Country:US
Practice Address - Phone:617-256-3837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-05
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2271584163WP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0000XNursing Service ProvidersRegistered NursePain Management