Individual
STEPHANNE PROSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4799
(401) 273-7100
Mailing address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4799
(401) 273-7100
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN02008
RI
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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