Boratyn, Mary E
Boratyn, Mary E is an individual health care provider with primary practice located at 186 Providence St Thundermist Health Center, West Warwick RI 02893-2508. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Boratyn, Mary E can be contacted via phone (401) 615-2800.Contact Information
Primary practice address
186 Providence St Thundermist Health Center
West Warwick RI 02893-2508
Phone: (401) 615-2800
Fax: (401) 615-2805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | NPP37490 | Rhode Island |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | NPP37490 | Rhode Island |
Profile Details
| NPI number | 1649424169 |
|---|---|
| LBN Legal business name | Boratyn, Mary E |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2008 |
| Last updated | Jan 16th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649424169 | NPPES |
| Rhode Island | MEDICAID | MA73809 |
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