Individual
MELISSA MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1085 N MAIN ST, PROVIDENCE, RI 02904-5719
(401) 415-4200
Mailing address
1085 N MAIN ST, PROVIDENCE, RI 02904-5719
(401) 415-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN04064
RI
Other
Enumeration date
07/22/2024
Last updated
07/27/2024
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