Provider Demographics
NPI:1568686913
Name:KNOWLES, FRANCINE ETHIER (PCNS)
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:ETHIER
Last Name:KNOWLES
Suffix:
Gender:F
Credentials:PCNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 CRESTMONT DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:RI
Mailing Address - Zip Code:02812-1126
Mailing Address - Country:US
Mailing Address - Phone:401-364-7624
Mailing Address - Fax:
Practice Address - Street 1:55 CHERRY LN
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-3617
Practice Address - Country:US
Practice Address - Phone:401-789-1367
Practice Address - Fax:401-789-6744
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILCDP00034101YA0400X
RIRN20364163WP0809X
RIPPNS00061364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult