Organization
RENEW MED
Active
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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