Provider Demographics
NPI:1568645984
Name:BUONAIUTO, EVELYN M (RN,CDOE)
Entity Type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:M
Last Name:BUONAIUTO
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 1:164 SUMMIT AVE
Mailing Address - Street 2:A
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-2853
Mailing Address - Country:US
Mailing Address - Phone:401-793-2939
Mailing Address - Fax:401-793-2953
Practice Address - Street 1:164 SUMMIT AVE
Practice Address - Street 2:A
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-2853
Practice Address - Country:US
Practice Address - Phone:401-793-2939
Practice Address - Fax:401-793-2953
Is Sole Proprietor?:No
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI13661163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse