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Individual

MARDEA HALLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
1150 RESERVOIR AVE STE 203, CRANSTON, RI 02920-6032
(401) 259-0340
(401) 213-8538
Mailing address
1150 RESERVOIR AVE STE 203, CRANSTON, RI 02920-6032
(401) 259-0340

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN04817
RI

Other

Enumeration date
10/23/2025
Last updated
11/12/2025
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