Individual
MRS. KATHLEEN ANN FOURNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, ACAGNP-BC
Contact information
Practice address
593 EDDY ST APC MAIN, PROVIDENCE, RI 02903
(401) 444-5435
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN03234
RI
Other
Enumeration date
09/01/2022
Last updated
09/27/2022
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