Individual
BETH ANN STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(508) 944-3059
Mailing address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(508) 944-3059
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5021680
NC
363LN0005X
Critical Care Neonatal Nurse Practitioner
APRN01453
RI
Other
Enumeration date
08/31/2016
Last updated
06/11/2025
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