Provider Demographics
NPI:1942223599
Name:MAHER, PAULA ANN (RN)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:ANN
Last Name:MAHER
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 1:667 WATERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-1712
Mailing Address - Country:US
Mailing Address - Phone:401-438-9500
Mailing Address - Fax:
Practice Address - Street 1:667 WATERMAN AVE
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-1712
Practice Address - Country:US
Practice Address - Phone:401-438-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN34829163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI6400144OtherEI UHP
RI412296OtherEI BLUE CHIP
RI2092OtherEI NHPRC
RIES01788Medicaid
RI292177OtherEI BLUE CROSS