Healthcare Provider Details

I. General information

NPI: 1669537510
Provider Name (Legal Business Name): HELEN EILEEN GETTMAN R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 03/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

823 MAIN ST
HOPE VALLEY RI
02832-1920
US

IV. Provider business mailing address

823 MAIN ST
HOPE VALLEY RI
02832-1920
US

V. Phone/Fax

Practice location:
  • Phone: 401-539-2461
  • Fax: 401-539-2676
Mailing address:
  • Phone: 401-539-2461
  • Fax: 401-539-2676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number30911
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number30911
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: