| NPI | 1306623426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH PINCINCE Administrator 401-770-3813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2026-02-24 |