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Contact Information

LIFE AND DESTINY HEALTH
2 YALE AVE
PROVIDENCE, RI02908-5235
 Phone: 401-999-2323
 Fax: 401-382-3802
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LIFE AND DESTINY HEALTH · (Female)

NPI Number 1891670188
Status Active
Credentials
Entity Individual
Enumeration date 08/07/2025
Last updated 08/07/2025 - About 10 months 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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