| NPI | 1053353615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH PINCINCE Administrator 401-770-3813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2024-04-30 |