Individual
GINA COZZOLINO MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RNP
Contact information
Practice address
4099 OLD POST RD, CHARLESTOWN, RI 02813-2553
(401) 364-0770
(401) 364-7694
Mailing address
PO BOX 910, CHARLESTOWN, RI 02813-0901
(401) 348-4074
(401) 364-7694
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN01206
RI
363L00000X
Nurse Practitioner
CNPP37401
RI
363LF0000X
Family Nurse Practitioner
Primary
APRN01206
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050513332
UNITED HEALTH
RI
01
—
32227#0
BCBS
RI
01
—
413845
BLUE CHIP
RI
Enumeration date
03/23/2007
Last updated
07/23/2019
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