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Individual

MR. TIMOTHY J. PEPIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, RN, PMHNP-BC

Contact information

Practice address
63 EDDIE DOWLING HWY STE 8, NORTH SMITHFIELD, RI 02896-7322
(401) 414-3485
(401) 414-3486
Mailing address
61 LINCOLN ST STE 203, FRAMINGHAM, MA 01702-8264
(781) 666-2711

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2330396
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2330396
MA

Other

Enumeration date
06/06/2022
Last updated
11/14/2022
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