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Individual

KAREN LAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER P

Contact information

Practice address
610 WAMPANOAG TRL, RIVERSIDE, RI 02915-1504
(401) 431-9870
Mailing address
PO BOX 25, RAYNHAM CENTER, MA 02768-0025

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2295628
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN03028
RI

Other

Enumeration date
03/10/2022
Last updated
03/16/2023
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