Provider Demographics
NPI:1821465386
Name:BISLAND, ANN PEARCE (APRN)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:PEARCE
Last Name:BISLAND
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:231 OLD TOWER HILL RD STE 208
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-3708
Mailing Address - Country:US
Mailing Address - Phone:646-386-6291
Mailing Address - Fax:949-655-2738
Practice Address - Street 1:231 OLD TOWER HILL RD STE 208
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-3708
Practice Address - Country:US
Practice Address - Phone:646-386-6291
Practice Address - Fax:949-655-2738
Is Sole Proprietor?:No
Enumeration Date:2015-08-31
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN00773363LP0200X, 363LP0808X, 2084P0804X
CT113353363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health