Individual
KRISTEN ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
50 MAUDE ST, PROVIDENCE, RI 02908-4325
(401) 560-9600
Mailing address
90 FAIRVIEW DR, WEST KINGSTON, RI 02892-1965
(401) 465-1895
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN02340
RI
Other
Enumeration date
08/12/2020
Last updated
01/03/2023
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