Individual
EDYTA REIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101-103 BACON STREET, PAWTUCKET, RI 02860
(401) 722-3560
(401) 722-5280
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN54971
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821078932
GATEWAY
—
Enumeration date
06/22/2018
Last updated
08/13/2019
About Stedi
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