Provider Demographics
NPI:1326333816
Name:MACINTYRE, JOYCE MARIE (RN CDOE)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:MARIE
Last Name:MACINTYRE
Suffix:
Gender:F
Credentials:RN CDOE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WAKE ROBIN RD UNIT 310
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-5208
Mailing Address - Country:US
Mailing Address - Phone:401-753-7965
Mailing Address - Fax:
Practice Address - Street 1:7 WAKE ROBIN RD UNIT 310
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-5208
Practice Address - Country:US
Practice Address - Phone:401-753-7965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI32430163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator