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NPI Code Detail

MEDICARE: CYNTHIA RENE

MEDICARE: CYNTHIA RENE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN30565RI

General Provider Information

NPI Number : 1497165104
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA RENE
Provider Business Mailing Address
First Line : 25 RAILROAD AVE
Second Line :
City : WARREN
State : RI
Zip : 02885-3206
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25 RAILROAD AVE
Second Line :
City : WARREN
State : RI
Zip : 02885-3206
Country : US
Telephone Number : 401-247-0173
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2014
Last Update Date : 05/02/2014

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Directions to “ CYNTHIA RENE ” Practice Location

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