Individual provider · Type 1 NPI

Corey Mammen

Certified Registered Nurse Anesthetist · Fall River, MA

NPI number 1063003648 Active

Practice location

795 Middle St
Fall River, MA 02721-1733

Mailing address

163 Cedar Ave
Portsmouth, RI 02871-4505

Other practice locations

  • 1 Kettle Point Ave, East Providence, RI 02914-5375 · (401) 330-1400
  • 62 Amaral St, Riverside, RI 02915-2205 · (401) 649-4030

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000XRN2329584 (MA)
Critical Care Medicine Registered Nurse 163WC0200XRN2329584 (MA)
Certified Registered Nurse Anesthetist 367500000XAPRN04092 (RI)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1063003648

Corey Mammen's National Provider Identifier is 1063003648, issued on Jan 27, 2021. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Fall River, MA. The record was last updated on Feb 3, 2026.