Individual
MRS. JANINE PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP-CNP
Contact information
Practice address
593 EDDY STREET, APC MAIN, PROVIDENCE, RI 02903
(401) 444-5435
(401) 444-8301
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN02032
RI
363LG0600X
Gerontology Nurse Practitioner
APRN02032
RI
Other
Enumeration date
05/01/2019
Last updated
06/21/2019
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