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Individual

LEIGH ANN EDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNP

Contact information

Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-2800
(401) 793-4047
Mailing address
PO BOX 3238, BOSTON, MA 02241-0001
(866) 689-8862
(207) 347-7401

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPP37404
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32483-6
BCBS
RI
01
414156
BLUECHIP
RI
05
LE68415
RI
Enumeration date
02/21/2007
Last updated
06/13/2008
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