Individual
STEPHANIE J AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, NP-C
Contact information
Practice address
355 PRAIRIE AVE, PROVIDENCE, RI 02905-1928
(401) 444-0570
(401) 444-0427
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 444-0468
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NPP37794
RI
363LF0000X
Family Nurse Practitioner
NPP37794
RI
367A00000X
Advanced Practice Midwife
Primary
CNM00108
RI
Other
Enumeration date
07/19/2006
Last updated
12/13/2023
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