Individual
HALEY SUSAN GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15 HEALTH LN STE 2-D, WARWICK, RI 02886-2710
(401) 736-4646
(401) 736-4546
Mailing address
455 TOLL GATE RD, PRC AND CREDENTIALING, WARWICK, RI 02886
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN04624
RI
Other
Enumeration date
06/24/2025
Last updated
08/18/2025
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