Individual
COREY MAMMEN
Active
Individual
COREY MAMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN2329584
MA
367500000X
Certified Registered Nurse Anesthetist
APRN04092
RI
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2329584
MA
Other
Enumeration date
01/27/2021
Last updated
02/03/2026
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