Individual
WILFRIDAH M MUTYETUMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15 DORR ST, CUMBERLAND, RI 02864-6807
(401) 286-3210
Mailing address
15 DORR ST, CUMBERLAND, RI 02864-6807
(401) 286-3210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN03164
RI
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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