Individual
BERNADETTE MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
557 BROAD ST, PROVIDENCE, RI 02907-1403
(401) 444-0483
(401) 444-0485
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 444-0468
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPP26503
RI
Other
Enumeration date
10/17/2006
Last updated
08/14/2007
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