MYAH AUDETTE

PROVIDENCE, RI
NPI1841656204
Former NameMYAH DRAINE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: RI  APRN04015)
Enumeration Date2016-01-14
Last Update Date2024-04-16
Business Address
MYAH AUDETTE NP
355 PRAIRIE AVE
PROVIDENCE, RI 02905-1928
Phone number: 401-444-0570
Mailing Address
MYAH AUDETTE NP
375 ALLENS AVE
PROVIDENCE, RI 02905-5010
Phone number: 401-444-0400