Organization · Type 2 NPI
Life and Destiny Health
Primary Care Nurse Practitioner · Providence, RI
NPI number
1891670188
Active
Practice location
2 Yale Ave
Providence, RI 02908-5235
Fax (401) 382-3802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
Other primary care nurse practitioner providers in Providence
About NPI 1891670188
Life and Destiny Health's National Provider Identifier is 1891670188, issued on Aug 7, 2025. 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 Aug 7, 2025.