FAIRLAWN PRIMARY CARE, INC
Nursing at Mineral Spring Ave, Pawtucket, RI

License number
Rhode Island 09843
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Rhode Island NPP37132
Category
Nursing
Type
Family
Owner
Name: MS. HOLLY FERNANDES
Title: PRESIDENT
Phone: (401) 475-3063
Address
Address
886 Mineral Spring Ave, Pawtucket, RI 02860
National Provider ID: 1508898909
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Fairlawn Primary Care Inc

Pawtucket, RI  -  Providence, RI

Industry:
PROVIDING MEDICAL SERVICES, Medical Doctor's Office
Registration:
Mar 12, 2004
Phone:
(401) 475-3063 (Phone)
Addresses:
886 Mineral Spg Ave, Pawtucket, RI 02860
966 Mineral Spg Ave, Providence, RI 02904
State ID:
000138661
Business type:
Domestic Profit Corporation
Obstetricians:
Fadi F. Mansourati (Director, Medical Director, Medical Doctor, Member, Owner),Holly Fernandes (Nurse Practitioner, Office Manager, President, Principal, Rnp),Brenna L. Anderson (Obstetrician)
Agent:
James A. Briden, Esq,150 Main St, Pawtucket, RI 02860 (Physical)

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