Individual
RAISSA MUTUYIMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 QUAKER LN # C2-4, WARWICK, RI 02886-0159
(401) 233-5051
(401) 372-3445
Mailing address
30 W MONROE ST STE 1200, CHICAGO, IL 60603-2420
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP021157
PA
Other
Enumeration date
11/26/2019
Last updated
05/29/2020
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