Individual
CAROLYN TARABORELLI-BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1085 N MAIN ST, PROVIDENCE, RI 02904-5719
(401) 415-4618
(401) 415-4348
Mailing address
1085 N MAIN ST, PROVIDENCE, RI 02904-5719
(401) 415-4618
(401) 415-4348
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN46584
RI
363L00000X
Nurse Practitioner
APRN02511
RI
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN02511
RI
363LG0600X
Gerontology Nurse Practitioner
APRN02511
RI
Other
Enumeration date
01/19/2021
Last updated
03/25/2021
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