Individual
MARY CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
464 OLIPHANT LN, MIDDLETOWN, RI 02842-4614
(401) 598-6437
Mailing address
464 OLIPHANT LN, MIDDLETOWN, RI 02842-4614
(401) 598-6437
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
37878
RI
Other
Enumeration date
09/05/2014
Last updated
02/02/2025
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