Individual
MYAH AUDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
355 PRAIRIE AVE, PROVIDENCE, RI 02905-1928
(401) 444-0570
(401) 444-0427
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN04015
RI
Other
Enumeration date
01/14/2016
Last updated
04/16/2024
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