NPI 1154807717
Ocean State Primary, LLC
Practice location
- Address
- 300 Toll Gate Rd STE 101b, Warwick, RI 02886-4447
- Phone
- (401) 921-5855
- Mailing address
- 2130 Mendon Rd STE 3-333, Cumberland, RI 02864-3844
Authorised official
- Name
- Jennifer Zuba
- Title
- Director of Operations
- Phone
- (401) 626-2748
Registered specialties (3)
Family Nurse Practitioner
Primary
Medical Physician Assistant
Nurse Practitioner
Registry record
- NPI
- 1154807717
- Entity type
- Organization
- NPI issued
- 17 Jul 2018
- Record last updated
- 17 Jul 2018
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.