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Contact Information

MY PLACE FOR MEDICAL, LLC
176 TOLL GATE RD STE 202
WARWICK, RI02886-4480
 Phone: 401-363-6032
 Fax: 401-384-7208
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Clinic/Center

261Q00000X
 

Primary Care

261QP2300X
 

Public Health, State or Local

261QP0905X
Indicates primary specialty

NPI Profile & details for MY PLACE FOR MEDICAL LLC · (Female)

NPI # 1003630484
Status Active
Credentials
Entity Individual
Enumeration date 11/12/2024
Last updated 04/30/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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