Individual
MRS. CLARISSE S DEXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
375 WAMPANOAG TRL, SUITE 102, RIVERSIDE, RI 02915-2232
(401) 649-4010
(401) 649-4011
Mailing address
17 VIRGINIA AVE, SUITE 107, PROVIDENCE, RI 02905-4406
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPP15609
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9095629
—
RI
Enumeration date
12/14/2006
Last updated
08/15/2016
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