Individual
MARY E BORATYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
186 PROVIDENCE ST, THUNDERMIST HEALTH CENTER, WEST WARWICK, RI 02893-2508
(401) 615-2800
(401) 615-2805
Mailing address
285 GOVERNOR ST STE 3, PROVIDENCE, RI 02906-3237
(401) 383-4411
(401) 383-8010
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
NPP37490
RI
363LP0200X
Pediatric Nurse Practitioner
Primary
NPP37490
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MA73809
—
RI
Enumeration date
11/11/2008
Last updated
01/16/2020
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