Individual
MRS. TARA-JEAN ANN RECASINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2499
(401) 274-1100
Mailing address
763 COOPER RD, CHEPACHET, RI 02814-1456
(401) 595-7849
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN03939
RI
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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