Individual
MS. MARYDALE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2 OLD COUNTY RD, BARRINGTON, RI 02806
(401) 246-1195
(401) 246-1211
Mailing address
45 FORBES ST, PROVIDENCE, RI 02908
(401) 421-3526
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN27048
RI
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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