Edward Lyons, APRN,BC | |
345 Blackstone Blvd, Weld Bldg, Providence, RI 02906-4800 | |
(401) 421-0060 | |
(401) 421-6676 |
Full Name | Edward Lyons |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 345 Blackstone Blvd, Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053499178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN29610 (Rhode Island) | Primary |
Entity Name | Community Care Alliance |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437191061 PECOS PAC ID: 5193627982 Enrollment ID: O20040122000707 |
Mailing Address | Practice Location Address |
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Edward Lyons, APRN,BC 55 John A Cummings Way, Weld Bldg, Woonsocket, RI 02895-3247 Ph: (401) 235-7469 | Edward Lyons, APRN,BC 345 Blackstone Blvd, Weld Bldg, Providence, RI 02906-4800 Ph: (401) 421-0060 |
Mrs. Halina Kuc-mazgaj, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, The Miriam Hospital, Providence, RI 02906 Phone: 401-793-3902 | |
Tanya A White, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4020 | |
Phina A Mayu, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Randall Sq, Providence, RI 02904 Phone: 401-274-6339 Fax: 401-453-6290 | |
Beverly Casinelli, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Allens Ave, Providence, RI 02905 Phone: 401-606-4150 | |
Elizabeth Moore Medbury, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7011 | |
Abigail Leah Soscia, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Dudley Street, Wih Neonatology/pediatrics, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7571 | |
Jennifer R Ouellette, MSN, RNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Pvamc 830 Chalkstone Ave, Firm Vi, Providence, RI 02908 Phone: 401-273-7100 |