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
- City
- North Kingstown
- State
- Rhode Island
- 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 Care — Primary Care |
| Nurse Practitioner - Family — Family |
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