Christopher Bruce Anderson, PMHNP-BC | |
1075 Smith St Ste 2, Providence, RI 02908-2700 | |
(401) 369-9224 | |
(401) 369-9275 |
Full Name | Christopher Bruce Anderson |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1075 Smith St Ste 2, Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912685306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN03613 (Rhode Island) | Primary |
163W00000X | Registered Nurse | RN76462 (Rhode Island) | Secondary |
Entity Name | Providence Behavioral Health Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023142700 PECOS PAC ID: 3274798236 Enrollment ID: O20120626000461 |
Mailing Address | Practice Location Address |
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Christopher Bruce Anderson, PMHNP-BC 270 Bellevue Ave # 258, Newport, RI 02840-3516 Ph: (410) 812-1732 | Christopher Bruce Anderson, PMHNP-BC 1075 Smith St Ste 2, Providence, RI 02908-2700 Ph: (401) 369-9224 |
Mrs. Halina Kuc-mazgaj, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, The Miriam Hospital, Providence, RI 02906 Phone: 401-793-3902 | |
Tanya A White, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4020 | |
Phina A Mayu, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Randall Sq, Providence, RI 02904 Phone: 401-274-6339 Fax: 401-453-6290 | |
Beverly Casinelli, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Allens Ave, Providence, RI 02905 Phone: 401-606-4150 | |
Elizabeth Moore Medbury, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7011 | |
Abigail Leah Soscia, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Dudley Street, Wih Neonatology/pediatrics, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7571 | |
Jennifer R Ouellette, MSN, RNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Pvamc 830 Chalkstone Ave, Firm Vi, Providence, RI 02908 Phone: 401-273-7100 |