Healthcare Provider Details

I. General information

NPI: 1912579582
Provider Name (Legal Business Name): RACHEL ELIZABETH BRIDEN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2021
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 EDDIE DOWLING HWY
NORTH SMITHFIELD RI
02896-8214
US

IV. Provider business mailing address

120 EDDIE DOWLING HWY
NORTH SMITHFIELD RI
02896-8214
US

V. Phone/Fax

Practice location:
  • Phone: --
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN03820
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2345871
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: