Provider Demographics
NPI:1003180399
Name:NEWMAN, KRISTEN R (BSN, RN)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:R
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-4974
Mailing Address - Country:US
Mailing Address - Phone:401-721-5901
Mailing Address - Fax:401-721-5902
Practice Address - Street 1:1070 MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-4974
Practice Address - Country:US
Practice Address - Phone:401-721-5901
Practice Address - Fax:401-721-5902
Is Sole Proprietor?:No
Enumeration Date:2012-03-04
Last Update Date:2012-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN46617163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health