IndividualActive
Kevin Rousseau
NPI 1164010682 · General Practice Registered Nurse · Millis, MA
Provider details
- NPI number
- 1164010682
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 146044 (MA)
Specialties & taxonomies
Nursing Service Providers
Practice location
69 Pleasant St
Millis, MA 02054-1477
Phone: (774) 249-8782
Approximate (ZIP-level) locationGet directions
Mailing address
69 Pleasant St
Millis, MA 02054-1477
Registry dates
- Enumerated
- 2021-01-10
- Last updated
- 2021-01-10
- Certified
- 2021-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.