Minuteclinic Primary Care Rhode Island LLC
Nurse Practitioner, Family in Woonsocket, RI. Organization (NPI-2).
NPI number1639986110
StatusActive
Last updated in NPPESJan 14, 2025
Details
- NPI
- 1639986110
- Entity type
- Organization (NPI-2)
- Legal business name
- Minuteclinic Primary Care Rhode Island LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 17, 2024
- Certification date
- Jan 14, 2025
- Last updated
- Jan 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
1054 Cass AveWoonsocket, RI 02895-4935
Phone 866-389-2727
Mailing address
Po Box 772Woonsocket, RI 02895-0784
Authorized official
Deborah Pincince
Administrator
4017703813
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