Individual
BETHANY A ERICKSON-CARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
450 VETERANS MEMORIAL PKWY BLDG 6, E PROVIDENCE, RI 02914-5300
(401) 435-5533
(401) 431-2555
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN01130
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070607901
MEDICARE
—
05
—
BL73622
—
RI
Enumeration date
10/10/2008
Last updated
04/04/2024
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