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MRS. MAUREEN DERMODY BOURIS RN, CDE
NPI 1710922851
Registered Nurse - Diabetes Educator in Pawtucket, RI

Active since June 20, 2006
21 PARIS ST, PAWTUCKET, RI 02860(401) 728-6811(401) 728-6811 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Maureen Dermody Bouris Rn, Cde NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MAUREEN DERMODY BOURIS RN, CDE (NPI 1710922851) is an individual diabetes educator provider in Pawtucket, Rhode Island, licensed in Rhode Island (RN29363) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1710922851
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameMRS. MAUREEN DERMODY BOURISCredential: RN, CDE
Location Address21 PARIS STPawtucket, RI 02860-6128
Mailing Address21 Paris StPawtucket, RI 02860-6128 · (401) 728-6811 · Fax (401) 728-6811
Phone(401) 728-6811
Fax(401) 728-6811
Sole ProprietorYes
Enumeration DateJune 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710922851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License✔ Licensed in RI · RN29363
21 PARIS ST, Pawtucket, RI 02860
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Other Identifiers 4

Other21010-8RI · Blue Cross/blue Shield
Other28124RI · Neighborhood Health Plan
Other63-00129RI · United Health Care
Other405279RI · Bluechip

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maureen Bouris's NPI number?

The NPI number for Maureen Bouris is 1710922851. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Maureen Bouris located?

Maureen Bouris practices at 21 Paris St, Pawtucket, RI 02860. The listed phone number is (401) 728-6811.

What is Maureen Bouris's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Maureen Bouris was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.