KAYLA ROSE-ELAINE VICINO

PAWTUCKET, RI
NPI1487191367
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: RI  APRN01733)
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
(Licence: MA  RN2306249)
163W00000X Registered Nurse
(Licence: MA  RN2306249)
163W00000X Registered Nurse
(Licence: RI  RN56441)
Enumeration Date2017-01-30
Last Update Date2017-12-12
Business Address
KAYLA ROSE-ELAINE VICINO PNP
126 PROSPECT ST STE 202
PAWTUCKET, RI 02860-4429
Phone number: 401-728-9208
Mailing Address
KAYLA ROSE-ELAINE VICINO PNP
126 PROSPECT ST SUITE 202
PAWTUCKET, RI 02860
Phone number: 401-728-9208