Individual
AMANDA JEAN PASCUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7010
(401) 736-4546
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7010
(401) 736-4546
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN02884
RI
363LG0600X
Gerontology Nurse Practitioner
APRN02884
RI
Other
Enumeration date
01/08/2021
Last updated
11/22/2024
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