Individual
ANDREA MERNAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
530 N MAIN ST, THE PROVIDENCE CENTER, PROVIDENCE, RI 02904-5762
(401) 274-7111
Mailing address
24 ROSEGARDEN ST, WARWICK, RI 02888-2811
(401) 461-8960
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD10152
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD10152
LICENSE
RI
Enumeration date
07/21/2005
Last updated
07/08/2007
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