MRS. MAUREEN DERMODY BOURIS RN CDE NPI 1710922851

NPI Information

NPI: 1710922851
Provider Name: MRS. MAUREEN DERMODY BOURIS, RN, CDE
Classification: Registered Nurse - 163WD0400X
Entity Type: Individual

Specialization: Diabetes Educator

Address:
21 PARIS ST
PAWTUCKET, RI
ZIP 02860
Phone: (401) 728-6811
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MRS. Maureen Dermody Bouris, RN, CDE is a diabetes educator registered nurse in Pawtucket, RI. MRS. Maureen Dermody Bouris, RN, CDE NPI is 1710922851. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21 PARIS ST
PAWTUCKET, RI
ZIP 02860-128
Phone: (401) 728-6811
Fax: (401) 728-6811

The enumeration date for this NPI number is 6/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WD0400X	Registered Nurse	Diabetes Educator	RN29363	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	21010-8	OTHER	RHODE ISLAND	BLUE CROSS/BLUE SHIELD
2	28124	OTHER	RHODE ISLAND	NEIGHBORHOOD HEALTH PLAN
3	63-00129	OTHER	RHODE ISLAND	UNITED HEALTH CARE
4	405279	OTHER	RHODE ISLAND	BLUECHIP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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