Healthcare Provider Details

I. General information

NPI: 1992818918
Provider Name (Legal Business Name): TINA MARIE EGAN RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 09/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 CHALKSTONE AVE HBPC
PROVIDENCE RI
02908-4734
US

IV. Provider business mailing address

830 CHALKSTONE AVE HBPC
PROVIDENCE RI
02908-4734
US

V. Phone/Fax

Practice location:
  • Phone: 401-273-7100
  • Fax: 401-457-3324
Mailing address:
  • Phone: 401-273-7100
  • Fax: 401-457-3324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN33093
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: