Individual
MR. MICHEAL JAMES RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-CNP, NP-C
Contact information
Practice address
400 BALD HILL RD, WARWICK, RI 02886-1617
(401) 738-8100
(401) 737-9934
Mailing address
58 LESLIE ST, CRANSTON, RI 02910-2605
(401) 946-9699
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN00743
RI
363LG0600X
Gerontology Nurse Practitioner
APRN00743
RI
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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