University Pediatrics Dba Children's Medical Group
University Pediatrics Dba Children's Medical Group is a Pediatric Nurse Practitioner 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
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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