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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENT PAIN AND WELLNESS CLINIC

Active Organization

PROVIDENT PAIN AND WELLNESS CLINIC is a Pain Medicine (PM&R) organization located in NEWPORT, Rhode Island. NPI 1639404635 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (PM&R) · NEWPORT, RI

Registration Details

NPI Number
1639404635
Provider Type
Organization
NPI Issued
Oct 8, 2009 (16.850052278069 yrs)
Last Updated
Mar 28, 2011
Licenses
10503 (RI)
PT01902 (RI)
10503 (RI)

Practice Information

Address
19 FRIENDSHIP ST
SUITE 160
NEWPORT, RI, 028402200
Browse RI providers · Browse ZIP 02840
Phone
4014997771
Primary Specialty
Pain Medicine (PM&R)
2081P2900X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Pain Medicine (PM&R)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.