Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | CMD14268 | RI |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | CMD14268 | RI |
NPI | 1538397716 |
---|---|
Provider Name | Dr. Christine Ann Nevins-Herbert |
First Address | Providence, RI 02904-5719 |
Second Address | Providence, RI 02904-5719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2009 |
Last Update Date | 12/12/2019 |