Provider Demographics
NPI:1902186562
Name:DUPRAS, DARRIN SCOTT (LPN)
Entity Type:Individual
Prefix:MR
First Name:DARRIN
Middle Name:SCOTT
Last Name:DUPRAS
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CLARENCE ST
Mailing Address - Street 2:
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02748-2203
Mailing Address - Country:US
Mailing Address - Phone:508-496-0242
Mailing Address - Fax:
Practice Address - Street 1:1 CLARENCE ST
Practice Address - Street 2:
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02748-2203
Practice Address - Country:US
Practice Address - Phone:508-496-0242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN65583164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse