Provider Demographics
NPI:1851415715
Name:BEDFORD, RINA MARIE (RN, CDOE)
Entity Type:Individual
Prefix:
First Name:RINA
Middle Name:MARIE
Last Name:BEDFORD
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 1:18 BEACH ST
Mailing Address - Street 2:
Mailing Address - City:COVENTRY
Mailing Address - State:RI
Mailing Address - Zip Code:02816-5664
Mailing Address - Country:US
Mailing Address - Phone:401-828-1938
Mailing Address - Fax:
Practice Address - Street 1:18 BEACH ST
Practice Address - Street 2:
Practice Address - City:COVENTRY
Practice Address - State:RI
Practice Address - Zip Code:02816-5664
Practice Address - Country:US
Practice Address - Phone:401-828-1938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI24561163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator