MR. WESLEY IRISH FNP
NPI 1962970947
Nurse Practitioner - Family in Providence, RI
Active since November 07, 2018
About Mr. Wesley Irish Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. WESLEY IRISH FNP (NPI 1962970947) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (0000000089250744) and active in the NPI registry since November 2018.
NPPES Registry Identity
NPI1962970947
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. WESLEY IRISHCredential: FNP
Location Address21 PEKIN STProvidence, RI 02908-3716
Mailing Address21 Pekin StProvidence, RI 02908-3716 · (401) 527-0615
Phone(401) 527-0615
Sole ProprietorYes
Enumeration DateNovember 7, 2018
✔ NPI 1962970947 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in RI · 0000000089250744
21 PEKIN ST, Providence, RI 02908
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962970947, enumerated as an "individual" on November 07, 2018.
The provider is located at 21 PEKIN ST PROVIDENCE, RI 02908 and the phone number is (401) 527-0615.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.