Organization
RENEW MED
Active
Other names
RENEW MED LLC, RENEW MED LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH DASHA MAGRIBY DNP, FNP (OWNER)
(401) 477-4477
Entity
Organization
Contact information
Practice address
300 INDUSTRIAL WAY, SUITE 1, SUITE 1, TIVERTON, RI 02878
(401) 222-0463
Mailing address
300 INDUSTRIAL WAY, SUITE 1, TIVERTON, RI 02878
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
01/07/2025
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