Ccsri, LLC
NPI #1598255168 in North Kingstown, Rhode Island
Provider Information
- NPI Number
- 1598255168
- Entity Type
- Organization
- Organization Name
- Ccsri, LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- May 18, 2018
- Last Updated
- Dec 10, 2019
Practice Location
- Address
- 650 TEN ROD RD
- City
- North Kingstown
- State
- Rhode Island
- ZIP Code
- 02852-4238
- Phone
- (301) 809-4000
Authorized Official
- Name
- VERONICA PICKENS
- Title
- AVP, COMPLIANCE AND DELEGATION
- Phone
- (301) 809-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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