Individual
MICHAEL JOSEPH MCCANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5172
(401) 444-5090
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
0000236502
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN05008
RI
Other
Enumeration date
11/16/2022
Last updated
03/19/2026
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