NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1619425436 |   |   |   | SILVER FERN PRACTICE, LLC | 4 RICHMOND SQ | PROVIDENCE | RI | 029065117 |
1871801613 | ARRUDA | SARAH | D |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1013437193 | BUSCH | KARL |   |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1841865383 | CAVANAUGH | MCKENZIE |   |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1457885535 | ENOS | JAIMEE |   |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1669872644 | FURLONG | JENNIFER |   |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1396838264 | GIROUX | KERRY | L |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1790266880 | MADIGAN | JORDAN | P |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1760739387 | RHOADS | CAROLYN | MARIE |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1740727452 | RICCARDI | LAUREN |   |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1124488796 | SULLIVAN | AMY | E |   | 4 RICHMOND SQ STE 200 | PROVIDENCE | RI | 029065117 |
1225423270 | THATCHER | MATTHEW | DAVID |   | 1525 WAMPANOAG TRAIL | EAST PROVIDENCE | RI | 029151038 |