Individual
MS. MARY ELLEN MATRONE JANUARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
475 KILVERT ST, WARWICK, RI 02886-1379
(401) 256-1606
Mailing address
9 CHESTER AVE, BRISTOL, RI 02809-1415
(401) 253-7484
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
NPP37435
RI
363LG0600X
Gerontology Nurse Practitioner
Primary
NPP37435
RI
Other
Enumeration date
07/29/2008
Last updated
05/27/2014
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