Organization
BEYOND BEAUTY MEDSPA RI LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORETTA JOSEPHINE ANTWI NP (CO OWNER)
(401) 236-7432
Entity
Organization
Contact information
Practice address
96 ROLFE SQ, CRANSTON, RI 02910-3413
(401) 236-7432
Mailing address
96 ROLFE SQ, CRANSTON, RI 02910-3413
(401) 236-7432
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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