Individual
KRISTEN E GRICUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, IBCLC
Contact information
Practice address
65 VILLAGE SQUARE DR STE 302, SOUTH KINGSTOWN, RI 02879-2569
(844) 754-6564
Mailing address
65 VILLAGE SQUARE DR STE 302, SOUTH KINGSTOWN, RI 02879-2569
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN04914
RI
Other
Enumeration date
11/05/2010
Last updated
12/23/2025
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