NPI | 1548909278 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH JEAN PINCINCE Administrator 401-770-3813 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
207Q00000X Family Medicine | |
Enumeration Date | 2022-06-01 |
Last Update Date | 2024-10-11 |