Individual
JOAN K MULLANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
36 BRIDGE WAY, PASCOAG, RI 02859-3131
(401) 567-0800
Mailing address
PO BOX 1358, PROVIDENCE, RI 02901-1358
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPP18066
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23843
NEIGHBORHOOD
RI
01
—
40508
BCHIP
RI
01
—
411814
MEDICARE GROUP
RI
01
—
78764
BCBS
RI
05
—
JM08335
—
RI
Enumeration date
05/27/2006
Last updated
04/04/2008
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