Doctor Name: | CAITLIN ELIZABETH LEVESQUE |
NPI Number: | 1174851117 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP |
License Number: | NPP37520 |
Business Practice Address: | 420 Scrabbletown Rd Ste A North Kingstown, RI - 028523638 |
Business Phone Number: | 4012957400 |
Business Fax Number: | 4012957825 |
Mailing Address: | 420 Scrabbletown Rd Ste A, NORTH KINGSTOWN |
State: | RI |
Postal Code: | 028523638 |
Phone Number: | 4012957400 |
Fax Number: | 4012957825 |
NPI Enumeration Date: | 12/03/2009 |
NPI Last Update Date: | 12/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | NPP37520 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |