Individual
BEVERLY WALDMAN RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, EAST PROVIDENCE, RI 02915-5061
(401) 432-1022
(401) 432-1500
Mailing address
593 EDDY ST, POTTER 3, PROVIDENCE, RI 02903-4923
(401) 444-4318
(401) 444-6573
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN00034
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30177-0
BLUE CROSS
RI
01
—
406699
BLUE CHIP
RI
01
—
62-15753
UNITED BEHAVIORAL HEALTH
RI
01
—
7245176
AETNA HEALTHCARE
RI
05
—
BR10812
—
RI
Enumeration date
07/03/2006
Last updated
04/11/2017
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