Individual provider · Type 1 NPI
Alfride Prevost-Ricardo, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Leominster, MA
NPI number
1962697961
Active
Practice location
40 Spruce St
Leominster, MA 01453-3233
Fax (978) 534-3294
Mailing address
72 Jaques Ave
Worcester, MA 01610-2476
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN/NP276156 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1962697961
Alfride Prevost-Ricardo, PMHNP-BC's National Provider Identifier is 1962697961, issued on Sep 12, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Leominster, MA. The record was last updated on Jan 26, 2012.