Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 254535 | MA |
N | 363LA2200X | Nurse Practitioner - Adult Health | NPP37489 | RI |
NPI | 1023288735 |
---|---|
Provider Name | Ms. Karen Wilmot |
First Address | Warwick, RI 02886-1379 |
Second Address | Franklin, MA 02038-1143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2008 |
Last Update Date | 27/05/2014 |