Provider Demographics
NPI:1225473960
Name:FALVEY, MARY T (RN)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:T
Last Name:FALVEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ELIZABETH RD
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-1211
Mailing Address - Country:US
Mailing Address - Phone:401-323-1628
Mailing Address - Fax:401-276-7896
Practice Address - Street 1:4 ELIZABETH RD
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806-1211
Practice Address - Country:US
Practice Address - Phone:401-323-1628
Practice Address - Fax:401-276-7896
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN23961163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator