Individual
MARY F. DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCNS
Contact information
Practice address
55 JOHN A CUMMINGS WAY, WOONSOCKET, RI 02895-3247
(401) 235-7000
Mailing address
83 ROSEGARDEN ST, WARWICK, RI 02888-2812
(401) 467-5020
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
PPNS00004
RI
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APRN00359
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
407879
BLUE CHIP
RI
01
—
621655
UNITED HEALTH
RI
01
—
BLUE CROSS
0000022382
RI
05
—
MD03432
—
RI
Enumeration date
09/26/2006
Last updated
04/07/2023
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