Individual
KELLY ROSENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
20 POWEL AVE, NEWPORT, RI 02840
(401) 845-1190
Mailing address
11 EARL AVE, NEWPORT, RI 02840-4021
(413) 949-0049
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN55340
RI
363LF0000X
Family Nurse Practitioner
Primary
APRN03775
RI
Other
Enumeration date
08/01/2023
Last updated
09/18/2023
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