Individual
MRS. MAUREEN DERMODY BOURIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
21 PARIS ST, PAWTUCKET, RI 02860-6128
(401) 728-6811
(401) 728-6811
Mailing address
21 PARIS ST, PAWTUCKET, RI 02860-6128
(401) 728-6811
(401) 728-6811
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN29363
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21010-8
BLUE CROSS/BLUE SHIELD
RI
01
—
28124
NEIGHBORHOOD HEALTH PLAN
RI
01
—
405279
BLUECHIP
RI
01
—
63-00129
UNITED HEALTH CARE
RI
Enumeration date
06/20/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us