Individual
MISS REBECCA WALLITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
120 EDDIE DOWLING HWY, NORTH SMITHFIELD, RI 02896-8214
(401) 762-3172
Mailing address
229 GLEANER CHAPEL RD, NORTH SCITUATE, RI 02857-1207
(401) 248-1595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03170623
RI
Other
Enumeration date
07/27/2017
Last updated
11/12/2020
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