Individual
MICHAEL ELLIS STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
46 BARNES ST, PROVIDENCE, RI 02906-1502
(401) 744-6447
Mailing address
7260 POST RD, STE 103, NORTH KINGSTOWN, RI 02852-3246
(401) 744-6447
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN02134
RI
Other
Enumeration date
08/27/2019
Last updated
02/10/2021
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