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Individual

MR. MOZART M. TELLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CNS

Contact information

Practice address
10 DORRANCE ST STE 700, PROVIDENCE, RI 02903-2014
(401) 447-4241
(401) 804-0401
Mailing address
10 DORRANCE ST STE 700, PROVIDENCE, RI 02903-2014
(401) 447-4142
(401) 804-0401

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APRN05026
RI
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN2349458
MA

Other

Enumeration date
06/28/2025
Last updated
03/21/2026
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