Active NPIOrganization

Wickford Family Practice LLC

Nurse Practitioner, Family in North Kingstown, Rhode Island

NPI Number1710698667
Practice location
320 Phillips St Ste 102, North Kingstown, RI 02852-5149
Fax
—
Last updated
February 1, 2023

Wickford Family Practice LLC is a healthcare organization based in North Kingstown, RI. Wickford Family Practice LLC practices in North Kingstown, RI. The NPI Number for Wickford Family Practice LLC is 1710698667. The current practice location address for Wickford Family Practice LLC is 320 Phillips St Ste 102, North Kingstown, RI 02852-5149 and can be reached out via phone at 603-667-6765.

Provider Profile Details

NPI Number
1710698667
Provider Name
Wickford Family Practice LLC
Provider Entity Type
Organization
Address
320 Phillips St Ste 102, North Kingstown, RI 02852-5149
Phone Number
603-667-6765
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Organization Subpart
No
Authorized Official
Maxwell Hogue, NURSE PRACTITIONER · Owner · 603-667-6765
Provider Enumeration Date
December 12, 2022
Last Update Date
February 1, 2023
Certification Date
February 1, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
320 Phillips St Ste 102
North Kingstown, RI 02852-5149
Zip
02852-5149
Phone Number
603-667-6765
North Kingstown, RI 02852Get directions →

Provider Business Mailing Address Details

Address
619 Boston Neck RD
North Kingstown, RI 02852-6235
City
North Kingstown
State
RI
Zip
02852-6235
Phone Number
603-667-6765

License Information

Taxonomy (1)
Clinic/Center, Primary Care · 261QP2300X
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 Wickford Family Practice LLC?

The NPI number of Wickford Family Practice LLC is 1710698667. It was assigned on December 12, 2022 and is currently active in the NPPES registry.

What is the specialty of Wickford Family Practice LLC?

Wickford Family Practice LLC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X).

Where does Wickford Family Practice LLC practice?

The practice location is 320 Phillips St Ste 102, North Kingstown, RI 02852-5149. The office can be reached at 603-667-6765 (phone).

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 1710698667 directly on the NPPES registry website.

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