Individual
CHRISTINE HANOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
168 MITCHELLS LN, PORTSMOUTH, RI 02871-3300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN01865
RI
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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