Individual
NICOLE ELIZABETH GLEYZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
111 BREWSTER ST, FCC-B, PAWTUCKET, RI 02860-4474
(401) 729-2206
(401) 729-3495
Mailing address
111 BREWSTER ST, FCC-B, PAWTUCKET, RI 02860-4474
(401) 729-2206
(401) 729-3495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO00919
RI
Other
Enumeration date
05/28/2015
Last updated
07/10/2024
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