Individual
MRS. MARY P NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
293 GOVERNOR ST, PROVIDENCE, RI 02906-3220
(401) 421-9000
(401) 421-5588
Mailing address
293 GOVERNOR ST, PROVIDENCE, RI 02906-3220
(401) 421-9000
(401) 421-5588
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN01203
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPP17692
STATE LICENSE
RI
Enumeration date
11/30/2006
Last updated
03/30/2016
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