| NPI | 1902292899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES M WHEELER Pediatric Nurse Practioner 401-633-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN00401) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |