Individual
OLIVIA MILENA MAXELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
50 MEMORIAL BLVD, NEWPORT, RI 02840-3636
(401) 606-4510
Mailing address
74 POCASSET AVE, TIVERTON, RI 02878-2116
(401) 808-0987
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN02212
RI
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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