Individual provider · Type 1 NPI
Thais Rudnick Wahl
Psychiatric/Mental Health Nurse Practitioner · Riverside, RI
NPI number
1811879448
Active
Practice location
24 Beach Point Dr
Riverside, RI 02915-2904
Other practice locations
- 17 Adelphi Ave, Providence, RI 02906-4119 · (718) 506-1115
- 398 Bellevue Ave, Newport, RI 02840-6955 · (718) 506-1115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN10005342 (MA) |
| Registered Nurse | 163W00000X | 76425 (RI) |
| Registered Nurse | 163W00000X | 2295540 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1811879448
Thais Rudnick Wahl's National Provider Identifier is 1811879448, issued on Jul 24, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Riverside, RI. The record was last updated on Mar 27, 2026.