Individual
LYNNE AGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCNS
Contact information
Practice address
593 EDDY ST, MAIN, RM 038, PROVIDENCE, RI 02903-4923
(401) 444-4779
(401) 444-7467
Mailing address
593 EDDY ST, MAIN, RM 038, PROVIDENCE, RI 02903-4923
(401) 444-4779
(401) 444-7467
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
PPNS00095
RI
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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