| NPI | 1497321780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENATA WOS Pcp Provider 401-338-7772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2024-09-05 |