Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coretta Antwi, NP

Individual provider Registered Nurse · NPI 1679014104

Coretta Antwi, NP is a Nurse Practitioner in Cranston, Rhode Island. Qualified in 2017, 9 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
9
Licensed in
RI
In the registry since
2017
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

94 Rolfe Sq
Cranston, RI 02910-3413
Phone: (401) 837-6716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 593 Eddy St, Providence, RI 02903-4923 — (401) 444-5520

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN01657 (RI)
Registered Nurse Taxonomy 163W00000X · Licence 48253 (RI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence APRN01657 (RI)

Record details

NPI number1679014104
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedMarch 16, 2017
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024
Mailing address94 Rolfe Sq, Cranston, RI 02910-3413

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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