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Individual

DEBBIE MENDELSOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-4500
Mailing address
206 ELMGROVE AVE, PROVIDENCE, RI 02906-4233
(401) 751-2975

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
APRN00843
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30532-1
BCBS RI
RI
01
407042
BLUECHIP
RI
Enumeration date
01/09/2006
Last updated
04/12/2019
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