Individual
LISA M. MARENARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PCNS
Contact information
Practice address
410 TIOGUE AVENUE, COVENTRY, RI 02816
(401) 828-2240
(401) 828-2240
Mailing address
410 TIOGUE AVENUE, COVENTRY, RI 02816
(401) 828-2240
(401) 828-2240
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN32695
RI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
PPNS00019
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22573-7
BLUE CROSS/BLUE SHIELD
RI
01
—
407708
BLUE CHIP
RI
Enumeration date
10/19/2005
Last updated
01/19/2010
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