Individual
NINA MONEYMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 PLAIN ST, PROVIDENCE, RI 02903-4828
(401) 453-7560
(401) 453-7573
Mailing address
101 PLAIN ST, PROVIDENCE, RI 02903-4828
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001194191
VA
363LW0102X
Women's Health Nurse Practitioner
0024175289
VA
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN03767
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144749649
—
VA
Enumeration date
09/15/2017
Last updated
08/07/2024
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