Individual
NINA SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 228-6579
Mailing address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN56047
RI
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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