Cabral, Mary V.

Cabral, Mary V. is an individual health care provider with primary practice located at 164 Summit Ave , Providence RI 02906-2853. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cabral, Mary V. can be contacted via phone (401) 793-2500.

Contact Information

Primary practice address
164 Summit Ave Providence RI 02906-2853
Phone: (401) 793-2500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 208868 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NPP37283 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 000850 Rhode Island

Profile Details

NPI number 1932148814
LBN Legal business name Cabral, Mary V.
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Dec 28th, 2022 - about 2 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 1932148814 NPPES
Rhode Island Other 412402 BLUECHIP COORDINATED HP
Rhode Island Other 29339-8 BLUECHIP COORDINATED HP
Rhode Island MEDICAID MC70413 BLUECHIP COORDINATED HP

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