Individual
MRS. GINA M CONNERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MLP-NP
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1100
Mailing address
11 DUDLEY AVE S, MIDDLETOWN, RI 02842-5421
(401) 847-5501
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
20010098
RI
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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