Individual
KRISTIN LEE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
355 PRAIRIE AVE, PROVIDENCE, RI 02905-1928
(401) 444-0570
(401) 444-0427
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 444-0468
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN55323
RI
163WP0200X
Pediatric Registered Nurse
RN2299166
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN01438
RI
Other
Enumeration date
07/08/2016
Last updated
04/15/2021
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