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Individual

CAITLIN RIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
845 N MAIN ST, PROVIDENCE, RI 02904-5700
(401) 648-7172
Mailing address
10 HILLSIDE AVE, PROVIDENCE, RI 02906-2916

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN04459
RI

Other

Enumeration date
02/05/2025
Last updated
02/05/2025
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