Individual
EVAN JON SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 443-5893
Mailing address
54 HILLSIDE AVE, PROVIDENCE, RI 02906-2916
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN73825
RI
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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