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Individual

BRIGID GUIDERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
36 S COUNTY COMMONS WAY STE C5, SOUTH KINGSTOWN, RI 02879-8238
(401) 782-2400
Mailing address
53 MISTUXET AVE, MYSTIC, CT 06355-3002
(860) 287-6489

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9608
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
DO NOT HAVE SUCH NUMBERS
Enumeration date
06/14/2022
Last updated
06/14/2022
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