Individual
BETSY LONERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, POB 224, PROVIDENCE, RI 02903-4923
(401) 444-6118
(401) 444-8804
Mailing address
593 EDDY ST, HASBRO 122, PROVIDENCE, RI 02903-4923
(401) 444-6118
(401) 444-8804
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN38820
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN33820
LICENSE
RI
Enumeration date
08/16/2012
Last updated
08/16/2012
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