Provider Demographics
NPI:1275220329
Name:GAGE, NAOMI (FNP)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:GAGE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 NATE WHIPPLE HWY STE 102
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-1422
Mailing Address - Country:US
Mailing Address - Phone:401-334-5437
Mailing Address - Fax:401-334-3571
Practice Address - Street 1:175 NATE WHIPPLE HWY STE 102
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-1422
Practice Address - Country:US
Practice Address - Phone:401-334-5437
Practice Address - Fax:401-334-3571
Is Sole Proprietor?:No
Enumeration Date:2023-04-19
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN03556363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily