Unknown Individual – Adult Health Nurse Practitioner, NPI 1073500591
Adult Health Nurse Practitioner
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Doctor Profile
Profile Insights
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
900, Warren Avenue, East Providence, Providence County, Rhode Island, 02914, United States
SUITE 400
EAST PROVIDENCE, RI 029141430
Phone: (401) 331-1221
Fax: (401) 751-8003
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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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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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | RI | 81002 | Urinalysis, manual test | 12 | 11 |
Group practice members
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