Wickford Family Practice LLC

NPI #1710698667 in North Kingstown, Rhode Island

Provider Information

NPI Number
1710698667
Entity Type
Organization
Organization Name
Wickford Family Practice LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Dec 12, 2022
Last Updated
Feb 1, 2023

Practice Location

Address
320 PHILLIPS ST STE 102
ZIP Code
02852-5149
Phone
(603) 667-6765

Authorized Official

Name
MAXWELL HOGUE, NURSE PRACTITIONER
Title
OWNER
Phone
(603) 667-6765

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care
Nurse Practitioner - FamilyFamily

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