Provider Demographics
NPI:1235100280
Name:FLAHERTY, ANNA MARIE (FNP)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:FLAHERTY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PINEWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-3413
Mailing Address - Country:US
Mailing Address - Phone:401-559-7384
Mailing Address - Fax:401-823-9180
Practice Address - Street 1:ALEXANDER SCAGNELLI, MD, PC
Practice Address - Street 2:469 CENTERVILLE RD. SUITE 103
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4335
Practice Address - Country:US
Practice Address - Phone:401-821-4100
Practice Address - Fax:401-823-9180
Is Sole Proprietor?:No
Enumeration Date:2006-01-29
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP 19663363LF0000X
RIAPRN00248363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily