Individual
MS. NICOLE LYNN FLANAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, MSN, RN,BA
Contact information
Practice address
154 WATERMAN ST, STE 15, 3RD FL, PROVIDENCE, RI 02906-3116
(401) 251-0628
(401) 340-1580
Mailing address
154 WATERMAN ST, STE 15, 3RD FL, PROVIDENCE, RI 02906-3116
(401) 251-0628
(401) 340-1580
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN40482
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN00477
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093757916
HARVARD PILGRIM
RI
05
—
NF51367
—
RI
Enumeration date
06/12/2006
Last updated
07/05/2023
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