Individual
MRS. NICOLE D. BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
355 PRAIRIE AVE, PROVIDENCE, RI 02905-1928
(401) 444-0570
Mailing address
355 PRAIRIE AVE, PROVIDENCE, RI 02905-1928
(401) 263-2251
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN01022
RI
363LF0000X
Family Nurse Practitioner
RN2339253
MA
363LP0200X
Pediatric Nurse Practitioner
RN2339253
MA
Other
Enumeration date
02/05/2016
Last updated
12/13/2023
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