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Individual

KATIE THAYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
300 CENTERVILLE RD STE 101, WARWICK, RI 02886-0200
(401) 732-4500
Mailing address
300 CENTERVILLE RD STE 101W, WARWICK, RI 02886-0201
(401) 732-4500

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN02456
RI

Other

Enumeration date
03/06/2020
Last updated
03/03/2021
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