Organization · Type 2 NPI

Aesthetic Haven

Nurse Practitioner · Tiverton, RI

NPI number 1306655253 Active

Practice location

300 Industrial Way, Fl 3, Suite 4, Room 4
Tiverton, RI 02878-3133

Fax (401) 340-1885

Other practice locations

  • 575 South St W, Suite 1, Room 4, Raynham, MA 02767-5305 · (401) 535-6104

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
General Practice Registered Nurse 163WG0000XNone listed
Primary Care Clinic/Center 261QP2300XNone listed
Nurse Practitioner Primary 363L00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed
Primary Care Nurse Practitioner 363LP2300XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

About NPI 1306655253

Aesthetic Haven's National Provider Identifier is 1306655253, issued on Jan 6, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tiverton, RI. The record was last updated on Oct 22, 2026.