University Pediatrics Dba Children's Medical Group
University Pediatrics Dba Children's Medical Group provides Pediatric Nurse Practitioner services in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2015.
- Licensed in
- RI
- In the registry since
- 2015
Practice location Address checks out
100 Highland Ave Ste 201Providence, RI 02906-2740 Not confirmed with CMS for 11 years — call before visiting
Phone: (401) 633-1100
Fax: (401) 633-0047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nurse Practitioner (primary) | Taxonomy 363LP0200X · Licence APRN00401 (RI) |
|---|
Record details
| NPI number | 1902292899 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Wheeler — Pediatric Nurse Practioner · (401) 633-1100 |
| NPI enumerated | April 8, 2015 |
| Last updated in NPPES | April 8, 2015 |
| Mailing address | 100 Highland Ave, Suite 201, Providence, RI 02906-2740 |
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