Individual
NIRVA LAFONTANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 274-7111
Mailing address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
252093
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN03181
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2022
Last updated
01/14/2026
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