Healthcare Provider Details

I. General information

NPI: 1720066145
Provider Name (Legal Business Name): MARIA T GILMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA T FLANDERS NP

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1126 HARTFORD AVENUE
JOHNSTON RI
02919
US

IV. Provider business mailing address

1126 HARTFORD AVENUE
JOHNSTON RI
02919
US

V. Phone/Fax

Practice location:
  • Phone: 401-519-1940
  • Fax: 401-351-6611
Mailing address:
  • Phone: 401-519-1940
  • Fax: 401-351-6611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number227424
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN00627
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: