Provider Demographics
NPI:1528306859
Name:MCGETRICK-BROWN, COLEEN A
Entity type:Individual
Prefix:MRS
First Name:COLEEN
Middle Name:A
Last Name:MCGETRICK-BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:COLEEN
Other - Middle Name:A
Other - Last Name:MCGETRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHLEBOTOMIST
Mailing Address - Street 1:29 LESLIE ST
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-2630
Mailing Address - Country:US
Mailing Address - Phone:401-536-3187
Mailing Address - Fax:401-272-0562
Practice Address - Street 1:29 LESLIE ST
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-2630
Practice Address - Country:US
Practice Address - Phone:401-536-3187
Practice Address - Fax:401-272-0562
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy