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Individual

CARLENE J PAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN PCNS

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN19398PPNS00011
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
306579
BLUE CROSS BLUE SHIELD
RI
01
410711
BLUE CHIP
RI
01
6291652
UNITED BEHAVIORAL HEALTH
RI
Enumeration date
10/04/2006
Last updated
07/21/2022
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