Individual
PRISCILLA A DURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 RIVER ST, WAKEFIELD, RI 02879
(401) 783-0523
(401) 783-9448
Mailing address
191 SOCIAL ST, WOONSOCKET, RI 02895
(401) 767-4163
(401) 767-4165
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPP15309
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235286
BC
RI
01
—
3844
NEIGHBORHOOD HEALTH PLAN
RI
05
—
7007211
—
RI
Enumeration date
07/20/2006
Last updated
07/08/2007
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