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Individual

NICOLE ALLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNS

Contact information

Practice address
520 HOPE ST, PROVIDENCE, RI 02906-2532
(401) 276-4000
Mailing address
528 N MAIN ST, PROVIDENCE, RI 02904-5757

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN26129
RI
364S00000X
Clinical Nurse Specialist
Primary
PPNS00066
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104847946
THE PROVIDENCE CENTER NPI
RI
01
3473-3
BLUE CROSS
RI
01
407880
BLUE CHIP
RI
01
62-46853
UNITED BEHAVIORAL HEALTH
RI
05
NA34283
RI
Enumeration date
06/25/2006
Last updated
03/26/2009
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