Individual
MARK JAMES GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRRN
Contact information
Practice address
75 LAMBERT LIND HWY, WARWICK, RI 02886-1131
(401) 681-4274
(401) 681-4285
Mailing address
75 LAMBERT LIND HWY, WARWICK, RI 02886-1131
(401) 681-4264
(401) 681-4285
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN01648
RI
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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