person
Ms. Shirley Medina, MCP
Specialist in Providence, Rhode Island
NPI 1689890725

Shirley Medina is a Specialist based in Providence, RI. Shirley Medina practices in Providence, RI and has the professional credentials of MCP. The NPI Number for Shirley Medina is 1689890725 and holds a License No. (Rhode Island).

The current practice location address for Shirley Medina is 1000 Eddy Street, Providence, RI and can be reached out via phone at 401-533-9100.

Location: 1000 Eddy Street, Providence, RI, 02905
person
Provider Profile Details
NPI Number
1689890725
Provider Name
Shirley Medina
Credential
MCP
Provider Entity Type
Individual
Gender
Female
Address
1000 Eddy Street, Providence, RI, 02905
Phone Number
401-533-9100
Fax Number
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4600103 01 RI EI UNITED
292177 01 RI EI BCROSS
2092 01 RI EI NHPRC
412296 01 RI EI BCHIP
ES01788 05 RI
institution
Provider Business Practice Location Address Details
Address
1000 Eddy Street
City
State
Zip
02905
Phone Number
401-533-9100
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Eddy Street
City
State
Zip
02905
Phone Number
401-533-9100
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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