Individual
COURTNEY REZENDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
593 EDDY ST., CLAVERICK 2, PROVIDENCE, RI 02903
(401) 444-4000
Mailing address
125 WHIPPLE ST STE 3, PROVIDENCE, RI 02908-3258
(401) 519-0330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN65173
RI
363L00000X
Nurse Practitioner
Primary
APRN03408
RI
363L00000X
Nurse Practitioner
PENDING
RI
Other
Enumeration date
11/10/2022
Last updated
01/06/2023
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