NPI 1215645742

Emmanuel Medical Services LLC

Organisation Nurse Practitioner North Providence, RI

Practice location

Address: 1417 Douglas Ave STE 2, North Providence, RI 02904-4057
Phone: (401) 200-8242
Fax: (401) 415-0418
Mailing address: 10 Dorrance St STE 700, Providence, RI 02903-2014

Authorised official

Name: Adebola Adelaiye
Title: Owner
Phone: (401) 200-8242

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Other Nurse Practitioner providers in Rhode Island →

Registry record

NPI: 1215645742
Entity type: Organization
NPI issued: 14 Nov 2022
Record last updated: 3 Nov 2023

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.