Maureen Giordano, RN

Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Pawtucket, RI

NPI 1114958352 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1114958352
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Registered Nurse 163WP0808X
License
RN34654 (RI)
Practice address
249 Roosevelt Ave
Suite 205
Pawtucket, RI 02860-2134
Phone
(401) 724-8400
Fax
(401) 365-1100
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN34654RIMDPsychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN34654 RI Yes

Addresses

Primary practice location

249 Roosevelt Ave
Suite 205
Pawtucket, RI 02860-2134

Mailing address

1443 Hartford Ave
Johnston, RI 02919-3224
Phone (401) 553-1033

Other identifiers

IdentifierTypeStateIssuer
MG27111MedicaidRI

Other providers in Pawtucket, RI

All providers in Pawtucket, RI · Psychiatric/Mental Health Registered Nurse in Rhode Island

Sources for this page

Verify at the official NPI Registry.