WELLCARE INC NPI 1235182783

NPI Information

WELLCARE INC is a women's health nurse practitioner in Johnston, RI. WELLCARE INC NPI is 1235182783. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1524 ATWOOD AVE
SUITE 243
JOHNSTON, RI
ZIP 02919-228
Phone: (401) 272-8773
Fax: (401) 272-8770

The provider's authorized official is Claire Amanda Nadeau .
The authorized official title is President and has the following contact phone number (401) 272-8773.

The CLIA number assigned to this NPI record is 41D1004369 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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