NPI 1053366963

Mary R Innis, RNPC

Practitioner Adult Psychiatric/Mental Health Clinical Nurse Specialist Worcester, MA

Practice location

Address: 100 Century Dr, Worcester, MA 01606
Phone: (508) 762-5400
Fax: (508) 762-5410
Mailing address: PO Box 415348 Provider Enrollment, Boston, MA 02241-5348

Registered specialties

Adult Psychiatric/Mental Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0809X Licence 167110 (MA)

Other Clinical Nurse Specialist providers in Massachusetts →

Registry record

NPI: 1053366963
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 May 2006
Record last updated: 24 Nov 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.