Provider Demographics
NPI:1528337359
Name:DEGNAN, SEVERINE BARBARA
Entity type:Individual
Prefix:
First Name:SEVERINE
Middle Name:BARBARA
Last Name:DEGNAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 ESSEX RD
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-1501
Mailing Address - Country:US
Mailing Address - Phone:401-595-6938
Mailing Address - Fax:
Practice Address - Street 1:265 ESSEX RD
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-1501
Practice Address - Country:US
Practice Address - Phone:401-595-6938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-22
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula