Dexter, Clarisse S

Dexter, Clarisse S is an individual health care provider with primary practice located at 375 Wampanoag Trl Suite 102, Riverside RI 02915-2232. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dexter, Clarisse S can be contacted via phone (401) 649-4010.

Contact Information

Primary practice address
375 Wampanoag Trl Suite 102 Riverside RI 02915-2232
Phone: (401) 649-4010
Fax: (401) 649-4011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NPP15609 Rhode Island

Profile Details

NPI number 1881756310
LBN Legal business name Dexter, Clarisse S
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Aug 15th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881756310 NPPES
Rhode Island MEDICAID 9095629

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