Active NPIOrganization

Pvd Cares Wellness Center LLC

Nurse Practitioner in Pawtucket, Rhode Island

NPI Number1063059244
Practice location
126 Prospect St Ste 105, Pawtucket, RI 02860-4429
Fax
401-235-4152
Last updated
June 29, 2021

Pvd Cares Wellness Center LLC is a healthcare organization based in Pawtucket, RI. Pvd Cares Wellness Center LLC practices in Pawtucket, RI. The NPI Number for Pvd Cares Wellness Center LLC is 1063059244. The current practice location address for Pvd Cares Wellness Center LLC is 126 Prospect St Ste 105, Pawtucket, RI 02860-4429 and can be reached out via phone at 401-753-2526 and via fax at 401-235-4152.

Provider Profile Details

NPI Number
1063059244
Provider Name
Pvd Cares Wellness Center LLC
Provider Entity Type
Organization
Address
126 Prospect St Ste 105, Pawtucket, RI 02860-4429
Phone Number
401-753-2526
Fax Number
401-235-4152
Primary Taxonomy
Nurse Practitioner · 363L00000X
Organization Subpart
No
Authorized Official
Effien King, FNP · Nurse Practitioner · 323-770-6210
Provider Enumeration Date
December 5, 2019
Last Update Date
June 29, 2021
Certification Date
June 28, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
126 Prospect St Ste 105
Pawtucket, RI 02860-4429
Zip
02860-4429
Phone Number
401-753-2526
Fax Number
401-235-4152
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
126 Prospect St
Pawtucket, RI 02860-4476
City
Pawtucket
State
RI
Zip
02860-4476
Phone Number
401-753-2526
Fax Number
401-235-4152

License Information

Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Pvd Cares Wellness Center LLC?

The NPI number of Pvd Cares Wellness Center LLC is 1063059244. It was assigned on December 5, 2019 and is currently active in the NPPES registry.

What is the specialty of Pvd Cares Wellness Center LLC?

Pvd Cares Wellness Center LLC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X).

Where does Pvd Cares Wellness Center LLC practice?

The practice location is 126 Prospect St Ste 105, Pawtucket, RI 02860-4429. The office can be reached at 401-753-2526 (phone) or 401-235-4152 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063059244 directly on the NPPES registry website.

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