NPI | 1790278604 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH JEAN PINCINCE Administrator 401-770-3813 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2018-06-14 |
Last Update Date | 2022-05-12 |