Organization
THERAPEUTIC ALTERNATIVES AND MEDICAL CANNABIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TASIA HENDERSON DNP (NURSE PRACTITIONER)
(401) 287-8810
Entity
Organization
Contact information
Practice address
3970 POST RD, WARWICK, RI 02886-9235
(401) 287-8810
(401) 287-8847
Mailing address
3970 POST RD, WARWICK, RI 02886-9235
(401) 287-8810
(401) 287-8847
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
05/28/2024
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