RONNIE SUE DEARDEN


Address: 85r Minot St, Dorchester, MA 02122-2015
Phone: 6175942300

RONNIE SUE DEARDEN (NPI# 1386020063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386020063
Entity Type Individual
Full Name RONNIE SUE DEARDEN
Other Name RONNIE SUE FABIANO
Credential RN
Practice Address 85r Minot St
Dorchester
MA 02122-2015
Practice Telephone 6175942300
Mailing Telephone 6175942300
Enumeration Date 2015-08-05
Last Update Date 2015-08-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
RN234540 MA Nursing Service Providers
N 163WM0705X Registered Nurse
Specialization: Medical-Surgical
RN234540 MA Nursing Service Providers

Office Location

Street Address 85R MINOT ST
City DORCHESTER
State MA
Zip Code 02122-2015

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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

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Competitor

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City DORCHESTER
Zip Code 02122

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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