Individual
TOLA FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, QMHP
Contact information
Practice address
528 N MAIN ST # 530, PROVIDENCE, RI 02904-5757
(401) 276-4100
Mailing address
9 BELLEVUE AVE, LINCOLN, RI 02865-1801
(401) 219-0060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN55024
RI
Other
Enumeration date
10/10/2019
Last updated
07/09/2025
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