Individual
SAMIRA OUKLILANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 DUDLEY ST, PROVIDENCE, RI 02905-3233
(401) 453-7950
Mailing address
100 DUDLEY ST, PROVIDENCE, RI 02905-3233
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN02343
RI
363LA2200X
Adult Health Nurse Practitioner
APRN02343
RI
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN02343
RI
Other
Enumeration date
09/16/2020
Last updated
02/14/2022
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