Individual
MARIO N SUMILANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3136
(401) 456-3228
Mailing address
PO BOX 844058, DALLAS, TX 75284-4058
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN01074
RI
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA00076-G
RI
Other
Enumeration date
02/10/2012
Last updated
07/27/2026
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