Organization
BANNER HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY LELIA LATORRE (OWNER)
(401) 332-9444
Entity
Organization
Contact information
Practice address
1559 HARTFORD AVE, JOHNSTON, RI 02919-3225
(401) 585-7445
Mailing address
1559 HARTFORD AVE, JOHNSTON, RI 02919-3225
(401) 332-9444
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
09/15/2025
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