| NPI | 1891412078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON M KERNAN Consultant 401-935-9387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2023-03-15 |