Mary R Innis in Boston - Psychiatric/mental Health, Adult
Mary R Innis - NPI 1053366963
Mary R Innis is a Psychiatric/mental Health, Adult in Boston, Massachusetts. Mary R Innis practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Mary R Innis is 1053366963. The last update date is 2020-11-24.
Mary R Innis's current location address is Po Box 415348 Provider Enrollment, Boston, Massachusetts. You can contact this provider via phone number 8002258885 and fax number 5083341977. The mailing address for Mary R Innis is Po Box 415348 Provider Enrollment, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary R Innis |
|---|---|
| Address | Po Box 415348 Provider Enrollment, Boston, Massachusetts |
| Phone Number | 8002258885 |
| Fax Number | 5083341977 |
| Sole Proprietor | N |
| Credentials | RN PC |
NPI Number Detail
| NPI Number | 1053366963 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2020-11-24 |
Provider Mailing Address Detail
| Address | Po Box 415348 Provider Enrollment |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 22415348 |
| Phone Number | 8002258885 |
| Fax Number | 5083341977 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Adult |
|---|---|
| Taxonomy | 364Sp0809X |
| Licence No | 167110 |
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Definition: A psychiatric clinical nurse specialist expert in caring for adult patients. |
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What is the unique 10-digit identifier code assigned to Mary R Innis by the Centers for Medicare & Medicaid Services?
The Mary R Innis has been issued the NPI (National Provider Identifier) 1053366963 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Mary R Innis located?
The Mary R Innis is located at Po Box 415348 Provider Enrollment, Boston, MA 22415348.
What is Mary R Innis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary R Innis is Psychiatric/mental Health, Adult, and the corresponding taxonomy classification code for this specialized field is 364Sp0809X.
When was the Mary R Innis's 1053366963 issued?
The Mary R Innis's 1053366963 was issued on 2006-05-23.
When was the information pertaining to Mary R Innis most recently updated or revised?
The details related to Mary R Innis, including its address, specialty, and other relevant information, were last updated or revised on 2020-11-24.