Pvd Cares Wellness Center Llc

Nurse Practitioner · Pawtucket, RI

Call (401) 753-2526 Directions

At a glance

126 Prospect St Ste 105, Pawtucket, RI 02860-4429

NPPES record updated Jun 29, 2021. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

126 Prospect St Ste 105
Pawtucket, RI 02860-4429

Professional details: NPI, taxonomy & registry record

NPI1063059244

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Registry details

Primary taxonomy: Nurse Practitioner
Taxonomy code: 363L00000X
Enumeration date: Dec 5, 2019
Record updated: Jun 29, 2021

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Nurse Practitioner

363L00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

126 Prospect St Ste 105
Pawtucket, RI 02860-4429

Phone: (401) 753-2526
Fax: (401) 235-4152

Mailing address

126 PROSPECT ST

PAWTUCKET, RI 028604476

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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