Individual provider · Type 1 NPI
James Mark Badger, PhD
Adult Health Nurse Practitioner · Providence, RI
NPI number
1710169792
Active
Practice location
593 Eddy St, Apc 948
Providence, RI 02903-4923
Fax (401) 444-3492
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | PNS00001 (RI) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | APRN00898 (RI) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1710169792
James Mark Badger, PhD's National Provider Identifier is 1710169792, issued on Nov 30, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Providence, RI. The record was last updated on Mar 25, 2020.