Individual
MARY CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
593 EDDY ST, DAVOL 129, PROVIDENCE, RI 02903-4923
(401) 444-4933
(401) 444-5090
Mailing address
ONE VIRGINIA AVENUE, SUITE 201, PROVIDENCE, RI 02905
(401) 490-0916
(401) 490-0979
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
244454
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN39364
RI
Other
Enumeration date
11/14/2007
Last updated
10/04/2013
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