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NPI Code Detail

MEDICARE: MISS AUDREY MARIE BILLINGS

MEDICARE:  MISS AUDREY MARIE BILLINGS
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
1171M00000XCase Manager/Care Coordinator
2174400000XSpecialist45920RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2SB870OTHERRIBLUE CROSS
30614OTHERRINEIGHBORHOOD HEALTH

General Provider Information

NPI Number : 1659658300
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS AUDREY MARIE BILLINGS
Provider Business Mailing Address
First Line : 1000 EDDY ST
Second Line :
City : PROVIDENCE
State : RI
Zip : 02905-4739
Country : US
Telephone Number : 401-533-9100
Fax Number :
Provider Business Practice Location Address
First Line : 1000 EDDY STREET
Second Line :
City : PROVIDENCE
State : RI
Zip : 02852
Country : US
Telephone Number : 401-533-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2011
Last Update Date : 06/16/2018

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Directions to “ MISS AUDREY MARIE BILLINGS ” Practice Location

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