NPI | 1649511841 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH JEAN PINCINCE Administrator 401-770-3813 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
363A00000X Physician Assistant | |
Enumeration Date | 2013-03-13 |
Last Update Date | 2024-02-26 |