# BEYOND BEAUTY MEDSPA RI LLP

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

## Provider details

- **NPI number:** 1831951995
- **Authorized official:** CORETTA JOSEPHINE ANTWI NP (CO OWNER)
- **Authorized official phone:** (401) 236-7432

## Contact information

- **Practice address:** 96 ROLFE SQ, CRANSTON, RI 02910-3413
- **Practice address phone:** (401) 236-7432
- **Mailing address:** 96 ROLFE SQ, CRANSTON, RI 02910-3413
- **Mailing address phone:** (401) 236-7432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/24/2024
- **Last updated:** 01/24/2024