Individual
RACHEL JOHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP, FNP
Contact information
Practice address
1195 NORTH MAIN STREET, CNEMG PRIMARY CARE WMC, PROVIDENCE, RI 02904-0288
(401) 736-4562
(401) 921-9864
Mailing address
455 TOLL GATE RD, PRC AND CREDENTIALING, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN00984
RI
363LW0102X
Women's Health Nurse Practitioner
APRN00984
RI
367A00000X
Advanced Practice Midwife
CNM00158
RI
Other
Enumeration date
07/13/2007
Last updated
02/14/2025
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