Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Linda D Revanche

Individual provider Gerontology Registered Nurse · NPI 1346712817

Linda D Revanche is a Gerontology Registered Nurse in Mattapan, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

19 Ledgebrook Rd Apt 1
Mattapan, MA 02126-2748
Phone: (857) 251-4008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X · Licence RN2328268 (MA)
Gerontology Registered Nurse Taxonomy 163WG0600X · Licence RN2328268 (MA)

Record details

NPI number1346712817
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 21, 2018
Last updated in NPPESDecember 21, 2018