Individual
MICHAEL PAUL AUDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
17 E BUTTERFLY WAY, LINCOLN, RI 02865-3935
(401) 723-3127
Mailing address
17 E BUTTERFLY WAY, LINCOLN, RI 02865-3935
(401) 723-3127
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
130396
MA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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