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Individual

MS. BRENDA BISHOP AZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2 COLLEGE ST, PROVIDENCE, RI 02903-2717
(401) 454-6625
(401) 454-6628
Mailing address
123 EVANS AVE, TIVERTON, RI 02878-4327
(401) 439-0915
(401) 816-5962

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NPP33078
RI
363LF0000X
Family Nurse Practitioner
RN161430
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23312-5
BLUE CROSS
RI
01
408307
BLUE CHIP
RI
Enumeration date
01/12/2006
Last updated
04/21/2017
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