NPI 1063059244
Pvd Cares Wellness Center LLC
Practice location
- Address
- 126 Prospect St STE 105, Pawtucket, RI 02860-4429
- Phone
- (401) 753-2526
- Fax
- (401) 235-4152
- Mailing address
- 126 Prospect St, Pawtucket, RI 02860-4476
Authorised official
- Name
- Effien King
- Title
- Nurse Practitioner
- Phone
- (323) 770-6210
Registered specialties
Nurse Practitioner
Primary
Registry record
- NPI
- 1063059244
- Entity type
- Organization
- NPI issued
- 5 Dec 2019
- Record last updated
- 29 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.