| NPI | 1992224497 |
|---|---|
| Doing Business As | SCMG NURSERY |
| Entity Type | Organization |
| Authorized Contact | MARCIA T POLHEMUS Controller 401-788-1974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| 174400000X Specialist | |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LN0000X Nurse Practitioner, Neonatal | |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2022-03-29 |