Boratyn, Mary E

Boratyn, Mary E is an individual health care provider with primary practice located at 186 Providence St Thundermist Health Center, West Warwick RI 02893-2508. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Boratyn, Mary E can be contacted via phone (401) 615-2800.

Contact Information

Primary practice address
186 Providence St Thundermist Health Center West Warwick RI 02893-2508
Phone: (401) 615-2800
Fax: (401) 615-2805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X NPP37490 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NPP37490 Rhode Island

Profile Details

NPI number 1649424169
LBN Legal business name Boratyn, Mary E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2008
Last updated Jan 16th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649424169 NPPES
Rhode Island MEDICAID MA73809

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