Phina A Mayu, NP | |
1 Randall Sq, Providence, RI 02904-2709 | |
(401) 274-6339 | |
(401) 453-6290 |
Full Name | Phina A Mayu |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 1 Randall Sq, 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 |
---|---|---|---|
1003383795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN01949 (Rhode Island) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | APRN01949 (Rhode Island) | Primary |
Entity Name | The Providence Community Health Centers Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053313593 PECOS PAC ID: 9335050962 Enrollment ID: O20040608000007 |
Entity Name | Nri Medical Services, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962639377 PECOS PAC ID: 8921152588 Enrollment ID: O20090817000135 |
Entity Name | Afya Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689290751 PECOS PAC ID: 0042623134 Enrollment ID: O20210111000577 |
Entity Name | Rhode Island Health Group Primacare Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174295406 PECOS PAC ID: 6800275843 Enrollment ID: O20220621002853 |
Mailing Address | Practice Location Address |
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Phina A Mayu, NP 375 Allens Ave, Providence, RI 02905-5010 Ph: (401) 444-0400 | Phina A Mayu, NP 1 Randall Sq, Providence, RI 02904-2709 Ph: (401) 274-6339 |
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 | |
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 |