Individual
TIFFANY F REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDOE
Contact information
Practice address
335 PRAIRIE AVE, PROVIDENCE, RI 02905-1924
(401) 444-0570
(401) 444-0427
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 444-0468
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN50559
RI
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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