Provider Demographics
NPI:1184424574
Name:LEGREE, RAABIYAH
Entity type:Individual
Prefix:
First Name:RAABIYAH
Middle Name:
Last Name:LEGREE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1241 WORCESTER ST
Mailing Address - Street 2:
Mailing Address - City:INDIAN ORCHARD
Mailing Address - State:MA
Mailing Address - Zip Code:01151-1511
Mailing Address - Country:US
Mailing Address - Phone:413-505-6274
Mailing Address - Fax:413-505-6274
Practice Address - Street 1:1241 WORCESTER ST
Practice Address - Street 2:
Practice Address - City:INDIAN ORCHARD
Practice Address - State:MA
Practice Address - Zip Code:01151-1511
Practice Address - Country:US
Practice Address - Phone:413-505-6274
Practice Address - Fax:413-505-6274
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN100458164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse