Individual
MS. ERIN IVATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGNP-C
Contact information
Practice address
712 BROAD ST, PROVIDENCE, RI 02907-1465
(401) 233-5060
Mailing address
PO BOX 746088, ATLANTA, GA 30374-6088
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
RN251201
MA
Other
Enumeration date
10/07/2016
Last updated
08/05/2024
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