| NPI | 1831951995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORETTA JOSEPHINE ANTWI Co Owner 401-236-7432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |