Healthcare Provider Details

I. General information

NPI: 1972529485
Provider Name (Legal Business Name): MAURA ANN FLYNN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 CHALKSTONE AVE
PROVIDENCE RI
02908-4734
US

IV. Provider business mailing address

28 JEFFERSON RD
FRANKLIN MA
02038-3345
US

V. Phone/Fax

Practice location:
  • Phone: 401-273-7100
  • Fax: 401-457-3383
Mailing address:
  • Phone: 508-528-8833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number152272
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: