Individual
MRS. DIANE JEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADULT NURSE PRACTITI
Contact information
Practice address
280 MELROSE ST., NAME: CONCENTRA, PROVIDENCE, RI 02901
(401) 784-7579
(401) 784-7305
Mailing address
280 MELROSE ST., NAME: CONCENTRA, PROVIDENCE, RI 02901
(401) 784-7579
(401) 784-7305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPP22524
RI
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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