Individual
MS. MARY JANE T CREELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RN, PCNS
Contact information
Practice address
127 JOHNNY CAKE HILL RD, MIDDLETOWN, RI 02842-5674
(401) 846-1213
(401) 848-9151
Mailing address
127 JOHNNY CAKE HILL RD, MIDDLETOWN, RI 02842-5674
(401) 846-1213
(401) 848-9151
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
PNS00002
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MC14017
—
RI
Enumeration date
02/14/2007
Last updated
07/08/2007
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