Ocean State Primary, LLC

NPI #1154807717 in Warwick, Rhode Island

Provider Information

NPI Number
1154807717
Entity Type
Organization
Organization Name
Ocean State Primary, LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jul 17, 2018
Last Updated
Jul 17, 2018

Practice Location

Address
300 TOLL GATE RD STE 101B
ZIP Code
02886-4447
Phone
(401) 921-5855

Authorized Official

Name
JENNIFER ZUBA
Title
DIRECTOR OF OPERATIONS
Phone
(401) 626-2748

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Physician Assistant - MedicalMedical
Nurse Practitioner - FamilyFamily

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