Healthcare Provider Details

I. General information

NPI: 1467583690
Provider Name (Legal Business Name): SYLVIA WEBER ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 05/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 SHAW AVENUE
CRANSTON RI
02905-3823
US

IV. Provider business mailing address

84 SHAW AVENUE
CRANSTON RI
02905-3823
US

V. Phone/Fax

Practice location:
  • Phone: 401-461-1042
  • Fax: 401-461-1048
Mailing address:
  • Phone: 401-461-1042
  • Fax: 401-461-1048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberPNS00017
License Number StateRI

VIII. Authorized Official

Name: MS. SYLVIA WEBER
Title or Position: CLINICAL NURSE SPECIALIST PRESIDENT
Credential: MS PCNS
Phone: 401-461-1042