Provider Demographics
NPI:1174856223
Name:ALEGRIA DE CUEVA, JUDY (NURSE)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:
Last Name:ALEGRIA DE CUEVA
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 JASPER ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-1330
Mailing Address - Country:US
Mailing Address - Phone:401-453-6689
Mailing Address - Fax:
Practice Address - Street 1:44 JASPER ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-1330
Practice Address - Country:US
Practice Address - Phone:401-453-6689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN40569163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse