Individual
KYLE WARDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10 HIGH ST, WAKEFIELD, RI 02879-3176
(401) 783-8077
(401) 789-6029
Mailing address
10 HIGH ST, WAKEFIELD, RI 02879-3176
(401) 783-8077
(401) 789-6029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN47897
RI
163WG0600X
Gerontology Registered Nurse
RN47897
RI
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN00836
RI
Other
Enumeration date
02/24/2016
Last updated
03/30/2016
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