Individual
JERRY FELIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903
(401) 444-5172
Mailing address
690 CANTON ST, SUITE 325, WESTWOOD, MA 02090-2321
(781) 407-7713
(781) 407-0998
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN01811
RI
367500000X
Certified Registered Nurse Anesthetist
RN2299423
MA
Other
Enumeration date
06/14/2016
Last updated
11/12/2024
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