| Wellness Connect Go Beyond Medicine, Llc | |
|
655 Broad St Ste 201 Providence RI 02907-1444 | |
| (401) 642-0100 | |
| (833) 992-2318 |
| Full Name | Wellness Connect Go Beyond Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 655 Broad St Ste 201, Providence, Rhode Island |
| Authorized Official Name and Position | Miriannys Rivas (FNP-C) |
| Authorized Official Contact | 4016420100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Connect Go Beyond Medicine, Llc 655 Broad St Ste 201 Providence RI 02907-1444 Ph: (401) 642-0100 | Wellness Connect Go Beyond Medicine, Llc 655 Broad St Ste 201 Providence RI 02907-1444 Ph: (401) 642-0100 |
| NPI Number | 1487203303 |
|---|---|
| Provider Enumeration Date | 09/04/2019 |
| Last Update Date | 01/24/2024 |
| Medicare PECOS PAC ID | 7517381312 |
|---|---|
| Medicare Enrollment ID | O20200727002841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487203303 | NPI | - | NPPES |
| Provider Name | Miriannys Rivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790240141 PECOS PAC ID: 5698199495 Enrollment ID: I20200727002991 |
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