Individual
ELLEN FICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 415-9500
(401) 415-9515
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7702
MA
101YM0800X
Mental Health Counselor
—
—
363LF0000X
Family Nurse Practitioner
Primary
APRN04719
RI
363LF0000X
Family Nurse Practitioner
RN2277786
MA
Other
Enumeration date
02/20/2008
Last updated
08/11/2025
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