| NPI | 1578289088 |
|---|---|
| Doing Business As | SCMG NURSERY & NEWBORN CARE UNIT - ADDITIONAL |
| Entity Type | Organization |
| Authorized Contact | MARCIA T POLHEMUS Controller 401-788-1974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 174400000X Specialist |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LN0000X Nurse Practitioner, Neonatal | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |