NPI | 1922564301 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH JEAN PINCINCE Administrator 401-770-3813 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 101YP2500X Counselor, Professional |
1041C0700X Social Worker, Clinical | |
207Q00000X Family Medicine | |
Enumeration Date | 2019-02-11 |
Last Update Date | 2024-08-29 |