This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / RI
NURSE PRACTITIONER
Graduated: 2019
NPI: 1114558244
FAIRLAWN PRIMARY CARE INC
966 MINERAL SPRING AVE
NORTH PROVIDENCE, RI 029044933
4014753063
Source: CMS National Downloadable File, September 2026.