Organization
INNOVATIVE THERAPEUTICS OF RHODE ISLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY CARLSON PMHNP-BC (OWNER)
(781) 964-9446
Entity
Organization
Contact information
Practice address
316 WILLETT AVE, RIVERSIDE, RI 02915-2511
(401) 270-2468
(781) 964-9446
Mailing address
316 WILLETT AVE, RIVERSIDE, RI 02915-2511
(401) 270-2468
(781) 964-9446
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN01440
RI
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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