| NPI | 1902376833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA S YOUNG Owner 401-767-8766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2026-01-28 |