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: 2021
NPI: 1902490865
LIFESPAN PHYSICIAN GROUP INC
164 SUMMIT AVE
PROVIDENCE, RI 029062853
4017934102
Source: CMS National Downloadable File, September 2026.