Individual provider · Type 1 NPI
Kayla Rose-Elaine Vicino, PNP
Pediatric Nurse Practitioner · Pawtucket, RI
NPI number
1487191367
Active
Practice location
126 Prospect St Ste 202
Pawtucket, RI 02860-4429
Mailing address
126 Prospect St, Suite 202
Pawtucket, RI 02860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN2306249 (MA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | APRN01733 (RI) |
| Registered Nurse | 163W00000X | RN2306249 (MA) |
| Registered Nurse | 163W00000X | RN56441 (RI) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
Other pediatric nurse practitioner providers in Pawtucket
About NPI 1487191367
Kayla Rose-Elaine Vicino, PNP's National Provider Identifier is 1487191367, issued on Jan 30, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Pawtucket, RI. The record was last updated on Dec 12, 2017.