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Organization

RI WELLNESS MEDICAL CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EUCHARIA U IBEH NP (FAMILY NURSE PRACTITIONER)
(401) 525-8202
Entity
Organization

Contact information

Practice address
1635 MINERAL SPRING AVE STE 203, NORTH PROVIDENCE, RI 02904-4025
(401) 525-8202
(308) 888-6638
Mailing address
1635 MINERAL SPRING AVE STE 203, NORTH PROVIDENCE, RI 02904-4025
(401) 525-8202
(308) 888-6638

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194326991
RI
05
1659025831
RI
Enumeration date
02/07/2022
Last updated
10/21/2025
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