Active NPIIndividual provider

Corissa A Pond, NP-C

Nurse Practitioner, Family in Pawtucket, Rhode Island

NPI Number1578996625
Practice location
39 East Ave, Pawtucket, RI 02860-4003
Fax
401-312-0318
Last updated
March 2, 2022

Corissa Ann Pond is a Nurse Practitioner, Family based in Pawtucket, RI. Corissa Ann Pond practices in Pawtucket, RI and has the professional credentials of NP-C. The NPI Number for Corissa Ann Pond is 1578996625 and holds a License No. RN264943 (MA). The current practice location address for Corissa Ann Pond is 39 East Ave, Pawtucket, RI 02860-4003 and can be reached out via phone at 401-722-0081 and via fax at 401-312-0318.

Provider Profile Details

NPI Number
1578996625
Provider Name
Corissa Ann Pond
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
39 East Ave, Pawtucket, RI 02860-4003
Phone Number
401-722-0081
Fax Number
401-312-0318
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
August 13, 2013
Last Update Date
March 2, 2022
Certification Date
March 2, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
39 East Ave
Pawtucket, RI 02860-4003
Zip
02860-4003
Phone Number
401-722-0081
Fax Number
401-312-0318
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
39 East Ave
Pawtucket, RI 02860-4003
City
Pawtucket
State
RI
Zip
02860-4003
Phone Number
401-722-0081
Fax Number
401-312-0318

License Information

License Number (1)
RN264943
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
APRN03010
License State (2)
RI
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · 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 Corissa A Pond, NP-C?

The NPI number of Corissa A Pond, NP-C is 1578996625. It was assigned on August 13, 2013 and is currently active in the NPPES registry.

What is the specialty of Corissa A Pond, NP-C?

Corissa A Pond, NP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN264943.

Where does Corissa A Pond, NP-C practice?

The practice location is 39 East Ave, Pawtucket, RI 02860-4003. The office can be reached at 401-722-0081 (phone) or 401-312-0318 (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 1578996625 directly on the NPPES registry website.

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