Individual
MARY ELLEN COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
89 BLUFF AVE, WARWICK, RI 02889-2135
(401) 228-3960
(401) 228-3950
Mailing address
89 BLUFF AVE, WARWICK, RI 02889-2135
(401) 228-3960
(401) 228-3950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28474
RI
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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