MICHAEL JOSEPH MOYLAN

PROVIDENCE, RI
NPI1407319163
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: RI  APRN02009)
Enumeration Date2019-04-10
Last Update Date2019-04-10
Business Address
MICHAEL JOSEPH MOYLAN APRN
148 W RIVER ST STE 3
PROVIDENCE, RI 02904-2615
Phone number: 401-421-6306
Mailing Address
MICHAEL JOSEPH MOYLAN APRN
33 STANIFORD ST FL 2
PROVIDENCE, RI 02905-3105
Phone number: 401-421-8800
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