Individual
MICHAEL ALEXANDER ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 WICKENDEN ST, PROVIDENCE, RI 02903-4364
(401) 453-0120
Mailing address
113 WICKENDEN ST, PROVIDENCE, RI 02903-4364
(401) 453-0120
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN04287
RI
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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