Kelleher, Annette L
Kelleher, Annette L is an sole proprietor health care provider with primary practice located at 50 Maude St , Providence RI 02908-4325. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Kelleher, Annette L can be contacted via phone (401) 456-6616.Contact Information
Primary practice address
50 Maude St
Providence RI 02908-4325
Phone: (401) 456-6616
Fax: (401) 456-6780
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | NPP37519 | Rhode Island |
Profile Details
NPI number | 1316178676 |
---|---|
LBN Legal business name | Kelleher, Annette L |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 5th, 2009 |
Last updated | Jul 17th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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