NPI 1396149704 · live from the CMS NPI Registry
Kimberly Pennine
Registered Nurse in East Providence, RI. National Provider Identifier 1396149704, active.
NPI record
| NPI | 1396149704 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse 163W00000X |
| Practice location | 975 Waterman Ave, East Providence, RI 02914 |
| Practice phone | 401-437-4884 |
| Mailing address | 25 Kiley St, North Providence, RI 02911 |
| Enumerated | October 14, 2014 |
| Last updated | September 11, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Home Health | 163WH0200X | RN50595 (RI) |
| Home Health | 251E00000X | RN50595 (RI) |
| Registered Nurse primary | 163W00000X | RN50595 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.