Individual
KARA LIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903-4923
(401) 444-5451
(401) 444-2922
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2504
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN00377
RI
363L00000X
Nurse Practitioner
NPP37812
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110100076A
—
MA
05
—
KG96613
—
RI
01
—
U400144295
MEDICARE NGS
RI
Enumeration date
01/13/2014
Last updated
04/10/2018
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