| A Knew You And Wellness Llc | |
|
42 Basswood Dr Bristol RI 02809-4912 | |
| (401) 424-1824 | |
| (937) 606-3077 |
| Full Name | A Knew You And Wellness Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 42 Basswood Dr, Bristol, Rhode Island |
| Authorized Official Name and Position | Candice West (OFFICE ADMIN) |
| Authorized Official Contact | 9373608434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Knew You And Wellness Llc 42 Basswood Dr Bristol RI 02809-4912 Ph: (401) 655-2031 | A Knew You And Wellness Llc 42 Basswood Dr Bristol RI 02809-4912 Ph: (401) 424-1824 |
| NPI Number | 1790391365 |
|---|---|
| Provider Enumeration Date | 09/19/2020 |
| Last Update Date | 01/21/2021 |
| Certification Date | 01/21/2021 |
| Medicare PECOS PAC ID | 6406267228 |
|---|---|
| Medicare Enrollment ID | O20201201000513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790391365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Diane M Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881902096 PECOS PAC ID: 4486816378 Enrollment ID: I20120511000065 |
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