Individual
THAIS RUDNICK WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 BEACH POINT DR, RIVERSIDE, RI 02915-2904
(508) 493-4585
Mailing address
24 BEACH POINT DR, RIVERSIDE, RI 02915-2904
(508) 493-4585
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2295540
MA
163W00000X
Registered Nurse
76425
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN10005342
MA
Other
Enumeration date
07/24/2025
Last updated
03/27/2026
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