Banner Health and Wellness
NPI #1114811718 in Johnston, Rhode Island
Provider Information
- NPI Number
- 1114811718
- Entity Type
- Organization
- Organization Name
- Banner Health and Wellness
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jun 6, 2025
- Last Updated
- Sep 15, 2025
Practice Location
- Address
- 1559 HARTFORD AVE
- City
- Johnston
- State
- Rhode Island
- ZIP Code
- 02919-3225
- Phone
- (401) 585-7445
Authorized Official
- Name
- JOY LELIA LATORRE
- Title
- OWNER
- Phone
- (401) 332-9444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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