NPI 1093853178 · live from the CMS NPI Registry
Mary Margaret Flynn, PhD, RD
Dietitian, Registered in Providence, RI. National Provider Identifier 1093853178, active.
NPI record
| NPI | 1093853178 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 164 Summit Ave, Providence, RI 02906 |
| Practice phone | 401-793-4707 |
| Mailing address | 11 Griswold Ave, Cranston, RI 02910 |
| Enumerated | February 2, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LDN00214 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.