Healthcare Provider Details

I. General information

NPI: 1366426801
Provider Name (Legal Business Name): NEPHROLOGY ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 WATERMAN AVE
EAST PROVIDENCE RI
02914-3525
US

IV. Provider business mailing address

318 WATERMAN AVE
EAST PROVIDENCE RI
02914
US

V. Phone/Fax

Practice location:
  • Phone: 401-438-5950
  • Fax: 401-435-2561
Mailing address:
  • Phone: 401-438-5950
  • Fax: 401-435-2561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL THURSBY
Title or Position: PRESIDENT
Credential: MD
Phone: 401-438-5950