NPI Profile for MY PLACE FOR MEDICAL LLC in WARWICK, RI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Clinic/Center |
261Q00000X | |||
Primary Care |
261QP2300X | |||
Public Health, State or Local |
261QP0905X |
| 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 |
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MY PLACE FOR MEDICAL, LLC
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