COREY MAMMEN
Individual Provider (NPI-1)
Active
Nurse Anesthetist, Certified Registered
Provider Information
- NPI Number
1063003648- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 795 MIDDLE ST, FALL RIVER, MA, 027211733
- Phone
- (508) 674-5600
Specialties & Taxonomies
Nurse Anesthetist, Certified Registered
Primary License: MA #RN2329584
Registered Nurse, Critical Care Medicine
License: MA #RN2329584
Nurse Anesthetist, Certified Registered
License: RI #APRN04092
All Addresses
MAILING
163 CEDAR AVE
PORTSMOUTH, RI, 028714505