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Individual

MS. JOAN M MCHUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1360 W MAIN RD, MIDDLETOWN, RI 02842-6301
(014) 606-3110
(508) 764-5458
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
149489
MA
363L00000X
Nurse Practitioner
Primary
APRN02299
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0354481
MA
01
NP3362
BCBS #
MA
Enumeration date
10/19/2006
Last updated
04/14/2020
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