NPI 1003383795

Phina a Mayu, NP

Practitioner Adult Health Nurse Practitioner Providence, RI

Practice location

Address: 1 Randall Sq, Providence, RI 02904-2709
Phone: (401) 274-6339
Fax: (401) 453-6290
Mailing address: 375 Allens Ave, Providence, RI 02905-5010

Registered specialties (2)

Adult Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X Licence APRN01949 (RI)

Other Nurse Practitioner providers in Rhode Island →

Psychiatric/Mental Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence APRN01949 (RI)

Registry record

NPI: 1003383795
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2018
Record last updated: 16 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.