Individual
TABITHA ANN IMONDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1525 OLD LOUISQUISSET PIKE STE 203, LINCOLN, RI 02865-4503
(774) 291-0617
Mailing address
19 JEFFREY DR, NORTH SCITUATE, RI 02857-2939
(401) 829-6788
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN01646
RI
Other
Enumeration date
08/03/2017
Last updated
04/09/2019
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