Individual
PAMELA KUSIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
164 SUMMIT AVENUE, SUITE C MEDICINIE CLINIC, PROVIDENCE, RI 02906
(401) 793-2930
(401) 793-2953
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
APRN01587
RI
Other
Enumeration date
05/02/2017
Last updated
07/08/2025
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