Individual
BETH CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, RN
Contact information
Practice address
186 PROVIDENCE ST, WEST WARWICK, RI 02893
(401) 615-2800
Mailing address
186 PROVIDENCE ST, WEST WARWICK, RI 02893-2508
(401) 615-2800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2264984
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN01978
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2264984
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN01978
APRN LICENSE
RI
01
—
CAPRN01978
CAPRN
RI
01
—
RN62078
RN LICENSE
RI
Enumeration date
07/28/2014
Last updated
08/25/2025
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