Organization
PVD CARES WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EFFIEN KING FNP (NURSE PRACTITIONER)
(323) 770-6210
Entity
Organization
Contact information
Practice address
126 PROSPECT ST STE 105, PAWTUCKET, RI 02860-4429
(401) 753-2526
(401) 235-4152
Mailing address
126 PROSPECT ST, PAWTUCKET, RI 02860-4476
(401) 753-2526
(401) 235-4152
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
06/29/2021
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