Healthcare Provider Details

I. General information

NPI: 1396451100
Provider Name (Legal Business Name): BARBARA JEAN AHIGIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2023
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2761 PAWTUCKET AVE
EAST PROVIDENCE RI
02914-3389
US

IV. Provider business mailing address

2761 PAWTUCKET AVE
EAST PROVIDENCE RI
02914-3389
US

V. Phone/Fax

Practice location:
  • Phone: 401-400-5861
  • Fax: 401-400-5862
Mailing address:
  • Phone: 401-400-5861
  • Fax: 401-400-5862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2310905
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN05171
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: