institution
South County Wellness Group, Llc
Psychiatric/Mental Health Nurse Practitioner in North Kingstown, Rhode Island
NPI 1861555690

South County Wellness Group, Llc is a Psychiatric/Mental Health Nurse Practitioner based in North Kingstown, RI and is specialized in Psychiatric/Mental Health. South County Wellness Group, Llc practices in North Kingstown, RI. The NPI Number for South County Wellness Group, Llc is 1861555690 and holds a License No. PPNS00010 (Rhode Island).

The current practice location address for South County Wellness Group, Llc is 1130 Ten Rod Rd, North Kingstown, RI and can be reached out via phone at 401-667-7079.

Location: 1130 Ten Rod Rd, North Kingstown, RI, 02852-4161
institution
Provider Profile Details
NPI Number
1861555690
Provider Name
South County Wellness Group, Llc
Credential
Provider Entity Type
Organization
Address
1130 Ten Rod Rd, North Kingstown, RI, 02852-4161
Phone Number
401-667-7079
Fax Number
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1962597336 01 RI NPI
1043260268 01 RI NPI
institution
Provider Business Practice Location Address Details
Address
1130 Ten Rod Rd
City
State
Zip
02852-4161
Phone Number
401-667-7079
Fax Number
person
Provider Business Mailing Address Details
Address
1130 Ten Rod Rd
City
State
Zip
02852-4161
Phone Number
401-667-7079
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
PPNS00010 (Rhode Island)
Definition
Definition to come...
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