Individual
MISS TASHAWNA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
650 BRANCH AVE STE 6, PROVIDENCE, RI 02904-1728
(401) 233-5055
Mailing address
153 NEW ST, NORTH PROVIDENCE, RI 02904-4129
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG03190068
RI
Other
Enumeration date
06/11/2019
Last updated
07/22/2024
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