| NPI | 1508483694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLIE ANN COLUCCI CEO 401-234-6685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2021-12-16 |