Individual provider · Type 1 NPI

Michael Ellis Stern

Primary Care Nurse Practitioner · Providence, RI

NPI number 1265080832 Active

Practice location

46 Barnes St
Providence, RI 02906-1502

Call (401) 744-6447 Map

Mailing address

7260 Post Rd, Ste 103
North Kingstown, RI 02852-3246

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XAPRN02134 (RI)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1265080832

Michael Ellis Stern's National Provider Identifier is 1265080832, issued on Aug 27, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Providence, RI. The record was last updated on Feb 10, 2021.