Karen Jutras NP

NPI 1063409753 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1063409753
Gender Female
Enumeration Date 09/29/2005
Last Updated 03/31/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
450 VETERANS MEMORIAL PKWY
BUILDING 6
EAST PROVIDENCE RI, 02914-5300, US
Phone (401) 435-5533
Fax (401) 431-2555
Business Location
10 DAVOL SQ
SUITE 400
PROVIDENCE RI, 02903-4754, US
Phone (401) 421-4000
Fax (401) 272-1456
Toxanomy
Taxonomy Code 363L00000X
License State Rhode Island
License Number NPP28467
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According to our database, Karen Jutras NP NPI is 1063409753, taxonomy code is 363L00000X and license number is NPP28467, license state is located at Rhode Island. Karen Jutras NP physically located at 450 Veterans Memorial Pkwy, East Providence RI, 02914-5300. NPI Number Karen Jutras NP has the Individual type.

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1063409753 NPI number is provided on an as is basis without warranty of any kind. 1063409753 is maintained by the National Plan & Provider Enumeration System. The contents of Karen Jutras NP are for informational purposes only.