Organization
OCEAN STATE PRACTITIONERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH CASTILLOVEITIA (OWNER)
(401) 429-9476
Entity
Organization
Contact information
Practice address
50 INDUSTRIAL CIR STE 112, LINCOLN, RI 02865-2612
(401) 429-9476
Mailing address
50 INDUSTRIAL CIR STE 112, LINCOLN, RI 02865-2612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
03/28/2026
Last updated
03/28/2026
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