Individual provider · Type 1 NPI

Mary Ellen Matrone Januario, NP

Gerontology Nurse Practitioner · Warwick, RI

NPI number 1104082296 Active

Practice location

475 Kilvert St
Warwick, RI 02886-1379

Mailing address

9 Chester Ave
Bristol, RI 02809-1415

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XNPP37435 (RI)
Gerontology Nurse Practitioner Primary 363LG0600XNPP37435 (RI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1104082296

Mary Ellen Matrone Januario, NP's National Provider Identifier is 1104082296, issued on Jul 29, 2008. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Warwick, RI. The record was last updated on May 27, 2014.