Mary D. Lavin in Providence - Nurse Practitioner
Mary D. Lavin - NPI 1285631424
Mary D. Lavin is a Nurse Practitioner in Providence, Rhode Island. Mary D. Lavin practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary D. Lavin is 1285631424. The last update date is 2015-04-29.
Mary D. Lavin's current location address is 117 Ellenfield St, Providence, Rhode Island. You can contact this provider via phone number 4014444318 and fax number 4014446573. The mailing address for Mary D. Lavin is 117 Ellenfield St, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary D. Lavin |
|---|---|
| Address | 117 Ellenfield St, Providence, Rhode Island |
| Phone Number | 4014444318 |
| Fax Number | 4014446573 |
| Sole Proprietor | N |
| Credentials | RNP |
NPI Number Detail
| NPI Number | 1285631424 |
|---|---|
| Provider Enumeration Date | 2005-07-01 |
| Last Updated Date | 2015-04-29 |
Provider Mailing Address Detail
| Address | 117 Ellenfield St |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29054513 |
| Phone Number | 4014444318 |
| Fax Number | 4014446573 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | NPP20913 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 409407 | RI | RI BLUE CHIP | |
| ML42620 | RI | -- | |
| 23638-6 | RI | RI BC/BS |
Post Comment/ Review Below
What is the unique identifier code issued to Mary D. Lavin by the Centers for Medicare & Medicaid Services (CMS)?
The Mary D. Lavin has been assigned the NPI (National Provider Identifier) 1285631424. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Mary D. Lavin located?
The Mary D. Lavin is located at 117 Ellenfield St, Providence, RI 29054513.
What is Mary D. Lavin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary D. Lavin is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did Mary D. Lavin receive its 1285631424 assignment from the Centers for Medicare & Medicaid Services?
The Mary D. Lavin was assigned its 1285631424 on 2005-07-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Mary D. Lavin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary D. Lavin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-04-29.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY