Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DCP00351 | RI |
NPI | 1104911023 |
---|---|
Provider Name | Sherry B Morrissette |
First Address | West Greenwich, RI 02817-1511 |
Second Address | West Greenwich, RI 02817-1511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 20/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U485319 | (02) | RI |