Provider Demographics
NPI:1457344608
Name:DUNCAN, NANCY ANN (AUD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ANN
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1822 N MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-1318
Mailing Address - Country:US
Mailing Address - Phone:508-674-3334
Mailing Address - Fax:508-674-5855
Practice Address - Street 1:1822 N MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-1318
Practice Address - Country:US
Practice Address - Phone:508-674-3334
Practice Address - Fax:508-674-5855
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA637237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI512550OtherBLUECHIP
MA5103169Medicaid
MA467290OtherTUFTS
MAAD0167OtherBLUE CROSS BLUE SHIELD
RI29506-6OtherBLUE CROSS BLUE SHIELD
MA5103169Medicaid
MA467290OtherTUFTS