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Wickford Family Practice Llc
Family Nurse Practitioner in North Kingstown, Rhode Island
NPI 1710698667

Wickford Family Practice Llc is a Family Nurse Practitioner based in North Kingstown, RI and is specialized in Family. Wickford Family Practice Llc practices in North Kingstown, RI. The NPI Number for Wickford Family Practice Llc is 1710698667 and holds a License No. (Rhode Island).

The current practice location address for Wickford Family Practice Llc is 320 Phillips St Ste 102, North Kingstown, RI and can be reached out via phone at 603-667-6765.

Location: 320 Phillips St Ste 102, North Kingstown, RI, 02852-6235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710698667
Provider Name
Wickford Family Practice Llc
Credential
Provider Entity Type
Organization
Address
320 Phillips St Ste 102, North Kingstown, RI, 02852-6235
Phone Number
603-667-6765
Fax Number
Provider Enumeration Date
12/12/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1235789231 05 RI
APRN02399 01 RI STATE NP LICENSE
institution
Provider Business Practice Location Address Details
Address
320 Phillips St Ste 102
City
North Kingstown
State
Rhode Island
Zip
02852-5149
Phone Number
603-667-6765
Fax Number
person
Provider Business Mailing Address Details
Address
320 Phillips St Ste 102
City
North Kingstown
State
Rhode Island
Zip
02852-5149
Phone Number
603-667-6765
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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