Organization
PRIMARY & PSYCHIATRIC INTEGRATED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLIE ANN COLUCCI FNP (CEO)
(401) 234-6685
Entity
Organization
Contact information
Practice address
215 LEGRIS AVE, WEST WARWICK, RI 02893-2937
(401) 234-6685
Mailing address
215 LEGRIS AVE, WEST WARWICK, RI 02893-2937
(401) 234-6685
(401) 250-9703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/06/2020
Last updated
12/16/2021
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