Individual
MARY-BETH A WELESKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
375 WAMPANOAG TRAIL, SUITE 102, EAST PROVIDENCE, RI 02905
(401) 649-4010
(401) 649-4011
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN00528
RI
363LF0000X
Family Nurse Practitioner
Primary
APRN00528
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7058340
—
RI
Enumeration date
05/27/2006
Last updated
07/12/2024
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