NPI 1861274813
Emmanuel Medical Services LLC
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
- Amos Adelaiye
- Title
- Office Manager
- Phone
- (401) 200-8242
Registered specialties
Psychiatric/Mental Health Nurse Practitioner
Primary
Registry record
- NPI
- 1861274813
- Entity type
- Organization
- NPI issued
- 16 Oct 2023
- Record last updated
- 16 Oct 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.