institution
Opal Behavioral Health
Psychiatric/Mental Health Nurse Practitioner in Providence, Rhode Island
NPI 1851098479

Opal Behavioral Health is a Psychiatric/Mental Health Nurse Practitioner based in Providence, RI and is specialized in Psychiatric/Mental Health. Opal Behavioral Health practices in Providence, RI. The NPI Number for Opal Behavioral Health is 1851098479 and holds a License No. (Rhode Island).

The current practice location address for Opal Behavioral Health is 383 W Fountain St Ste 103, Providence, RI and can be reached out via phone at 401-217-9377 and via fax at 401-200-3166.

Location: 383 W Fountain St Ste 103, Providence, RI, 02903-1432
institution
Provider Profile Details
NPI Number
1851098479
Provider Name
Opal Behavioral Health
Credential
Provider Entity Type
Organization
Address
383 W Fountain St Ste 103, Providence, RI, 02903-1432
Phone Number
401-217-9377
Fax Number
401-200-3166
Provider Enumeration Date
02/14/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN2327944 01 MA BOARD OF NURSING
APRN01685 01 RI BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
383 W Fountain St Ste 103
City
State
Zip
02903-3515
Phone Number
401-217-9377
Fax Number
401-200-3166
person
Provider Business Mailing Address Details
Address
383 W Fountain St Ste 103
City
State
Zip
02903-3515
Phone Number
401-217-9377
Fax Number
401-200-3166
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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