Provider Demographics
NPI:1801644034
Name:ESPERANT, ANGE-LAURE FERLEE
Entity type:Individual
Prefix:
First Name:ANGE-LAURE
Middle Name:FERLEE
Last Name:ESPERANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 PROSPECT AVE
Mailing Address - Street 2:APT 2
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02170
Mailing Address - Country:US
Mailing Address - Phone:781-502-2402
Mailing Address - Fax:
Practice Address - Street 1:24 PROSPECT AVE
Practice Address - Street 2:APT 2
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02170
Practice Address - Country:US
Practice Address - Phone:781-502-2402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2364481163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse