Individual
PREMA DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
375 WAMPANOAG TRL, RIVERSIDE, RI 02915-2232
(401) 649-4010
(401) 649-4011
Mailing address
110 ELM ST, PROVIDENCE, RI 02903-4626
(401) 443-4992
(401) 784-4902
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN02893
RI
363LF0000X
Family Nurse Practitioner
RN2259356
MA
Other
Enumeration date
09/09/2013
Last updated
01/07/2022
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