Organization
GRACEFUL INNER LIGHT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA VASQUEZ FNP-BC (OWNER)
(401) 742-7037
Entity
Organization
Contact information
Practice address
1200 HARTFORD AVE UNIT 105, JOHNSTON, RI 02919-7141
(401) 742-7037
Mailing address
33 BRANDON RD, CRANSTON, RI 02910-1207
(401) 742-1192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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