Graduated: 2024
NPI: 1194586925
Practice Locations (2)
MOONSHOT PSYCHIATRIC NURSE PRACTITIONER PC
10 DORRANCE ST, SUITE 700
PROVIDENCE, RI 029032014
2017482806
MOONSHOT PSYCHIATRIC NURSE PRACTITIONER PC
210 25TH AVE N, SUITE 601
NASHVILLE, TN 372031631
2017482806
Source: CMS National Downloadable File, September 2026.