Individual
MS. TARA M STORTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1443 HARTFORD AVE, JOHNSTON, RI 02919-3224
(401) 273-8100
(401) 861-8696
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN71953
RI
Other
Enumeration date
11/27/2024
Last updated
12/05/2024
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