CRYSTAL LISE SOUZA

WARWICK, RI
NPI1467826693
Former NameCRYSTAL LISE TAVERAS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: RI  APRN00778)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: CT  10730)
Enumeration Date2015-11-27
Last Update Date2024-06-11
Business Address
CRYSTAL LISE SOUZA FNP-C
300 CENTERVILLE RD STE 110
WARWICK, RI 02886
Phone number: 401-615-2299
Mailing Address
CRYSTAL LISE SOUZA FNP-C
10 DAVOL SQ STE 400
PROVIDENCE, RI 02903-4760
Phone number: 401-421-4000