KOLU S. BAYSAH CLARK

WARWICK, RI
NPI1336535624
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: RI  APRN00086)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MA  RN2269378)
363LP2300X Nurse Practitioner, Primary Care
(Licence: RI  APRN00086)
363LP2300X Nurse Practitioner, Primary Care
(Licence: MA  RN2269378)
Enumeration Date2015-04-13
Last Update Date2021-12-21
Business Address
Mrs. KOLU S. BAYSAH CLARK DNP
455 TOLL GATE RD
WARWICK, RI 02886-2759
Phone number: 401-737-7010
Mailing Address
Mrs. KOLU S. BAYSAH CLARK DNP
455 TOLLGATE RD PROFESSIONAL REVENUE CYCLE AND CREDENTIALING
WARWICK, RI 02886-2759
Phone number: 401-273-0641