Individual
LYNN TARDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CVS DR, WOONSOCKET, RI 02895-6146
(866) 389-2727
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1
RI
363LF0000X
Family Nurse Practitioner
123
RI
Other
Enumeration date
05/17/2017
Last updated
03/17/2018
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