Basic Information
| Provider Information | |||||||||
| NPI: | 1396393146 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RASHID | ||||||||
| FirstName: | MAHREEN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 63 EDDIE DOWLING HWY STE 9 | ||||||||
| Address2: | |||||||||
| City: | NORTH SMITHFIELD | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028967322 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7138936214 | ||||||||
| FaxNumber: | 4014143486 | ||||||||
| Practice Location | |||||||||
| Address1: | 63 EDDIE DOWLING HWY STE 9 | ||||||||
| Address2: | |||||||||
| City: | NORTH SMITHFIELD | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028967322 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4014143485 | ||||||||
| FaxNumber: | 4014143486 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/26/2019 | ||||||||
| LastUpdateDate: | 05/04/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/04/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 364SP0808X | RN2303021 | MA | N | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psych/Mental Health | 364SP0808X | RN64529 | RI | Y | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psych/Mental Health |
No ID Information.