UNIVERSITY PEDIATRICS DBA CHILDREN'S MEDICAL GROUP NPI 1902292899

NPI Information

UNIVERSITY PEDIATRICS DBA CHILDREN'S MEDICAL GROUP is a pediatrics nurse practitioner in Providence, RI. UNIVERSITY PEDIATRICS DBA CHILDREN'S MEDICAL GROUP NPI is 1902292899. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 HIGHLAND AVE
SUITE 201
PROVIDENCE, RI
ZIP 02906-740
Phone: (401) 633-1100
Fax: (401) 633-0047

The provider's authorized official is Charles M Wheeler .
The authorized official title is Pediatric Nurse Practioner and has the following contact phone number (401) 633-1100.

The enumeration date for this NPI number is 4/8/2015 and was last updated on 4/8/2015.

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:

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