Page, Carlene J

Page, Carlene J is an individual health care provider with primary practice located at 200 High Service Avenue Marian Hall 1St Floor, North Providence RI 02904. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Page, Carlene J can be contacted via phone (401) 456-3649.

Contact Information

Primary practice address
200 High Service Avenue Marian Hall 1St Floor North Providence RI 02904
Fax: (401) 752-8116
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X RN19398PPNS00011 Rhode Island

Profile Details

NPI number 1750476735
LBN Legal business name Page, Carlene J
Credentials APRN PCNS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750476735 NPPES
Rhode Island Other 306579 BLUE CROSS BLUE SHIELD
Rhode Island Other 6291652 BLUE CROSS BLUE SHIELD
Rhode Island Other 410711 BLUE CROSS BLUE SHIELD

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