Individual
MS. MARY V. CABRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-2500
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-2672
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
000850
RI
363LF0000X
Family Nurse Practitioner
208868
MA
363LF0000X
Family Nurse Practitioner
NPP37283
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29339-8
BLUE SHIELD
RI
01
—
412402
BLUECHIP COORDINATED HP
RI
05
—
MC70413
—
RI
Enumeration date
06/06/2006
Last updated
12/28/2022
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