Healthcare Provider Details

I. General information

NPI: 1467862607
Provider Name (Legal Business Name): PAMELA DOONER NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2014
Last Update Date: 06/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 TOWER HILL RD
NORTH KINGSTOWN RI
02852-6639
US

IV. Provider business mailing address

132 HOLMES RD
WARWICK RI
02888-1322
US

V. Phone/Fax

Practice location:
  • Phone: 401-235-7000
  • Fax:
Mailing address:
  • Phone: 401-442-5387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License NumberRN53201
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN02069
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: