Individual
LAURA E CANAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
345 BLACKSTONE BLVD BLDG 100, PROVIDENCE, RI 02906-4800
(401) 681-4996
(401) 921-6569
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2322253
MA
363LF0000X
Family Nurse Practitioner
APRN01776
RI
Other
Enumeration date
03/26/2018
Last updated
12/08/2023
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