| NPI | 1205613007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA NAEVA Nurse Practitioner 401-321-4618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2024-09-12 |