Individual
CORISSA ANN POND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
39 EAST AVE, PAWTUCKET, RI 02860-4003
(401) 722-0081
(401) 312-0318
Mailing address
39 EAST AVE, PAWTUCKET, RI 02860-4003
(401) 722-0081
(401) 312-0318
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN03010
RI
363LF0000X
Family Nurse Practitioner
RN264943
MA
Other
Enumeration date
08/13/2013
Last updated
03/02/2022
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