Individual
MS. LAURIE TINA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1150 DOUGLAS PIKE, SMITHFIELD, RI 02917-1291
(401) 232-6220
Mailing address
17 ROGLER FARM RD, SMITHFIELD, RI 02917-1219
(401) 233-0316
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN000823
RI
363LS0200X
School Nurse Practitioner
APRN00823
RI
Other
Enumeration date
03/20/2007
Last updated
09/10/2018
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