Wendy E Holland, ARNP | |
3769 Old Post Rd, Charlestown, RI 02813-2571 | |
(401) 854-7955 | |
Not Available |
Full Name | Wendy E Holland |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3769 Old Post Rd, Charlestown, 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 |
---|---|---|---|
1124451695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP60365470 (Washington) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN03068 (Rhode Island) | Primary |
Entity Name | Complete Health Primary Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316516768 PECOS PAC ID: 6305248139 Enrollment ID: O20210715002177 |
Mailing Address | Practice Location Address |
---|---|
Wendy E Holland, ARNP 3769 Old Post Rd, Charlestown, RI 02813-2571 Ph: (401) 854-7955 | Wendy E Holland, ARNP 3769 Old Post Rd, Charlestown, RI 02813-2571 Ph: (401) 854-7955 |
Gina Cozzolino Mayo, MS, RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4099 Old Post Rd, Charlestown, RI 02813 Phone: 401-364-0770 Fax: 401-364-7694 | |
Jackie Marlene Woodside, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 51 Old Mill Rd, Charlestown, RI 02813 Phone: 401-364-1268 |