Individual
MR. WESLEY IRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
21 PEKIN ST, PROVIDENCE, RI 02908-3716
(401) 527-0615
Mailing address
21 PEKIN ST, PROVIDENCE, RI 02908-3716
(401) 527-0615
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0000000089250744
RI
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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