Individual
MICHAEL J NUNNERY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
7408 POST RD, NORTH KINGSTOWN, RI 02852-3217
(401) 294-4210
(401) 294-3104
Mailing address
7408 POST RD, NORTH KINGSTOWN, RI 02852-3217
(401) 294-4210
(401) 294-3104
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CPO0004
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225148
BLUE CROSS BLUE SHIELD
RI
01
—
401254
BLUECHIP
RI
05
—
5580001
—
RI
Enumeration date
07/07/2005
Last updated
07/08/2007
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