Individual
MRS. SHERRY A MATOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,CNP
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1100
Mailing address
31 AGAWAM PARK RD, RUMFORD, RI 02916-1603
(401) 437-6430
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
NPP37472
RI
363LF0000X
Family Nurse Practitioner
Primary
APRN01258
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37472
NEONATAL
—
01
—
NPP 37472
NPP
RI
Enumeration date
05/04/2009
Last updated
09/29/2023
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