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NAOMI STASIA SIWY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
66 BRANCH AVE STE 150, PROVIDENCE, RI 02904-2756
(401) 606-2590
(401) 606-2591
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN04181
RI
363LF0000X
Family Nurse Practitioner
RN2287422
MA

Other

Enumeration date
06/09/2021
Last updated
08/28/2024
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