Individual
ELIZABETH R AXELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
55 JOHN A CUMMINGS WAY, WOONSOCKET, RI 02895-3247
(401) 235-7000
Mailing address
12 LAUREL LN, EAST GREENWICH, RI 02818-1701
(401) 885-2338
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN09053
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EA26214
—
RI
Enumeration date
07/15/2006
Last updated
07/08/2007
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