Individual
MRS. HEATHER A KORENCSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
180 LOG RD, SMITHFIELD, RI 02917-1518
(401) 231-7016
Mailing address
180 LOG RD, SMITHFIELD, RI 02917-1518
(401) 231-7016
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN02988
RI
363L00000X
Nurse Practitioner
RN256831
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN02988
RI
363LG0600X
Gerontology Nurse Practitioner
RN256831
MA
Other
Enumeration date
09/24/2014
Last updated
03/04/2024
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