Rich, Beverly Waldman

Rich, Beverly Waldman is an individual health care provider with primary practice located at 1011 Veterans Memorial Pkwy , East Providence RI 02915-5061. 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. Rich, Beverly Waldman can be contacted via phone (401) 432-1022.

Contact Information

Primary practice address
1011 Veterans Memorial Pkwy East Providence RI 02915-5061
Phone: (401) 432-1022
Fax: (401) 432-1500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN00034 Rhode Island

Profile Details

NPI number 1144250747
LBN Legal business name Rich, Beverly Waldman
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Apr 11th, 2017 - about 9 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 1144250747 NPPES
Rhode Island Other 30177-0 BLUE CROSS
Rhode Island Other 7245176 BLUE CROSS
Rhode Island MEDICAID BR10812 BLUE CROSS
Rhode Island Other 62-15753 BLUE CROSS
Rhode Island Other 406699 BLUE CROSS

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