Provider Demographics
NPI:1669830550
Name:NIRPHEMY DAMBREVILLE-LUNDY
Entity Type:Organization
Organization Name:NIRPHEMY DAMBREVILLE-LUNDY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:NIRPHEMY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMBREVILLE-LUNDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-985-3592
Mailing Address - Street 1:125 GAS LIGHT DR
Mailing Address - Street 2:8
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-2142
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:125 GAS LIGHT DR
Practice Address - Street 2:8
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-2142
Practice Address - Country:US
Practice Address - Phone:781-985-3592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care