Individual
RALPH EUGENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
191 SOCIAL ST STE 180, WOONSOCKET, RI 02895-3213
(617) 600-3195
(617) 924-1207
Mailing address
191 SOCIAL ST STE 180, WOONSOCKET, RI 02895-3213
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2291275
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN03313
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN03313
RI BOARD OF NURSING
RI
Enumeration date
11/25/2014
Last updated
11/01/2022
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