IndividualActive
Mary Nugent
NPI 1114095262 · Pediatric Nurse Practitioner · Providence, RI
Provider details
- NPI number
- 1114095262
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- APRN01203 (RI)
Practice location
293 Governor St
Providence, RI 02906-3220
Phone: (401) 421-9000
Fax: (401) 421-5588
Mailing address
293 Governor St
Providence, RI 02906-3220
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2016-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.