Individual
AMANDA MARIE GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
308 CALLAHAN RD, NORTH KINGSTOWN, RI 02852-7739
(401) 295-9706
Mailing address
PO BOX 312, PASCOAG, RI 02859-0312
(401) 567-0800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN52177
RI
163WD0400X
Diabetes Educator Registered Nurse
RN52177
RI
363LF0000X
Family Nurse Practitioner
Primary
APRN02757
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN02757
NP LICENSE
RI
01
—
RN52177
NURSING LICENSE
RI
Enumeration date
09/17/2018
Last updated
01/04/2023
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