Individual
MARY J EMIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
181 CUMBERLAND ST, WOONSOCKET, RI 02895-3301
(401) 235-7000
Mailing address
101 BOURASSA AVE, WOONSOCKET, RI 02895-3601
(401) 769-8429
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN28422
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ME63338
—
RI
Enumeration date
02/02/2007
Last updated
07/08/2007
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