Individual
ELYSE CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4705 OLD POST RD, CHARLESTOWN, RI 02813-1841
(401) 364-7705
Mailing address
44 FAIRWAY DR, CRANSTON, RI 02920-2610
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN67559
RI
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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