Individual
CECELIA ODILE HAFFNER JATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BS
Contact information
Practice address
180 CORLISS ST STE E1, PROVIDENCE, RI 02904-2602
(401) 793-2928
(401) 793-7401
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN51478
RI
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN03907
RI
Other
Enumeration date
06/02/2022
Last updated
01/17/2024
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