Unknown Individual – Nurse Practitioner, NPI 1063409753
Nurse Practitioner
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Davol Square, Downtown, Providence, Providence County, Rhode Island, 02903, United States
SUITE 400
PROVIDENCE, RI 029034754
Phone: (401) 421-4000
Fax: (401) 272-1456
Type: Mailing
Veterans Memorial Parkway, Armington Corner, Kent Heights, East Providence, Providence County, Rhode Island, 02915, United States
BUILDING 6
EAST PROVIDENCE, RI 029145300
Phone: (401) 435-5533
Fax: (401) 431-2555
Type: Location
NPPES updates history
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02903)
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Group practice members
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