# POPHEALTHCARE MEDICAL SERVICES OF RI PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639606395
- **Authorized official:** KIRK STANLEY (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (615) 721-7023

## Contact information

- **Practice address:** 2374 POST RD, SUITE 203, WARWICK, RI 02886-2260
- **Practice address phone:** (800) 436-1827
- **Mailing address:** 2374 POST RD, SUITE 203, WARWICK, RI 02886-2260
- **Mailing address phone:** (800) 436-1827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/12/2017
- **Last updated:** 05/12/2017