Individual
SARA PETIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 VETERANS MEMORIAL PKWY, BUILDING 6, EAST PROVIDENCE, RI 02914-5300
(401) 435-3400
(401) 435-3586
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN01139
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285044305
—
RI
01
—
709004158
MEDICARE GROUP PTAN
RI
Enumeration date
04/28/2014
Last updated
04/09/2024
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