Individual
DR. KIMBERLY ROSE MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, DNAP
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-6779
Mailing address
1956 S COUNTY TRL, WEST KINGSTON, RI 02892-1600
(401) 477-0896
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN03227
RI
Other
Enumeration date
07/21/2022
Last updated
01/20/2023
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