Individual
CORETTA ANTWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
94 ROLFE SQ, CRANSTON, RI 02910-3413
(401) 837-6716
Mailing address
94 ROLFE SQ, CRANSTON, RI 02910-3413
(401) 837-6716
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
48253
RI
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN01657
RI
363LG0600X
Gerontology Nurse Practitioner
APRN01657
RI
Other
Enumeration date
03/16/2017
Last updated
01/24/2024
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