Individual
MELANIE A. FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
345 BLACKSTONE BLVD STE 2, PROVIDENCE, RI 02906-4829
(401) 455-6403
(401) 455-6405
Mailing address
59 PROSPECT ST # 3, PAWTUCKET, RI 02860-4482
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN57458
RI
363LF0000X
Family Nurse Practitioner
Primary
APRN01622
RI
Other
Enumeration date
07/25/2017
Last updated
04/20/2020
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