Healthcare Provider Details

I. General information

NPI: 1912938317
Provider Name (Legal Business Name): MARILIA SIMAS-WHYTE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 OLD COUNTY RD EAST BAY MENTAL HEALTH CTR
BARRINGTON RI
02806
US

IV. Provider business mailing address

3 MARIE DR
BRISTOL RI
02809
US

V. Phone/Fax

Practice location:
  • Phone: 401-246-1195
  • Fax:
Mailing address:
  • Phone: 401-254-1544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN37042
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: