| NPI | 1508898909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY FERNANDES President 401-475-3063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI 09843) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37132) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |