Basic Information
Provider Information | |||||||||
NPI: | 1043280654 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | BUONO | ||||||||
FirstName: | DIANNE | ||||||||
MiddleName: | CATHY | ||||||||
NamePrefix: | MS. | ||||||||
NameSuffix: |   | ||||||||
Credential: | RN | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | COURY | ||||||||
OtherFirstName: | DIANNE | ||||||||
OtherMiddleName: | CATHY | ||||||||
OtherNamePrefix: | MRS. | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: | RN | ||||||||
OtherLastNameType: | 5 | ||||||||
Mailing Information | |||||||||
Address1: | 23 HAZELTON RD | ||||||||
Address2: |   | ||||||||
City: | BARRINGTON | ||||||||
State: | RI | ||||||||
PostalCode: | 028061602 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4012461638 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 2 OLD COUNTY RD | ||||||||
Address2: | EAST BAY MENTAL HEALTH CENTER | ||||||||
City: | BARRINGTON | ||||||||
State: | RI | ||||||||
PostalCode: | 02806 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4012461193 | ||||||||
FaxNumber: | 4012463078 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 01/25/2006 | ||||||||
LastUpdateDate: | 07/08/2007 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | X | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN35722 | RI | Y |   | Nursing Service Providers | Registered Nurse |   | 163W00000X | 663031 | NY | N |   | Nursing Service Providers | Registered Nurse |   |
No ID Information.