Provider Demographics
NPI:1932285517
Name:HOULIHAN, MOIRA ELIZABETH (RN)
Entity Type:Individual
Prefix:
First Name:MOIRA
Middle Name:ELIZABETH
Last Name:HOULIHAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:MOIRA
Other - Middle Name:ELIZABETH
Other - Last Name:MCGUIRL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:227 GRACE ST
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-3511
Mailing Address - Country:US
Mailing Address - Phone:401-846-6620
Mailing Address - Fax:
Practice Address - Street 1:65 VALLEY RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-5234
Practice Address - Country:US
Practice Address - Phone:401-846-6620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI42350163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult