Individual
LATOYA LANGE-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6200
Mailing address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN02178
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN49719
RI
Other
Enumeration date
10/31/2019
Last updated
01/07/2020
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