MARDEA HALLEY PMHNP-BC NPI 1437026465

NPI Information

  • NPI: 1437026465
  • Provider Name: MARDEA HALLEY, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 1150 RESERVOIR AVE STE 203
    CRANSTON, RI
    ZIP 02920
  • Phone: (401) 259-0340

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NPI Details

Mardea Halley, PMHNP-BC is a psychiatric/mental health nurse practitioner in Cranston, RI. Mardea Halley, PMHNP-BC NPI is 1437026465. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1150 RESERVOIR AVE STE 203
CRANSTON, RI
ZIP 02920-032
Phone: (401) 259-0340

The enumeration date for this NPI number is 10/23/2025 and was last updated on 10/23/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN04817RHODE ISLANDYes

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: 3/30/2025

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