Individual
DEENA HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
PO BOX 19610, JOHNSTON, RI 02919-0610
(401) 965-7419
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
32629
RI
363LF0000X
Family Nurse Practitioner
Primary
APRN03781
RI
Other
Enumeration date
09/05/2023
Last updated
10/05/2023
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