Healthcare Provider Details

I. General information

NPI: 1992616403
Provider Name (Legal Business Name): KAREN LOURDES ROCA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 SCHOOL ST
PAWTUCKET RI
02860-5747
US

IV. Provider business mailing address

372 NEW MEADOW RD
BARRINGTON RI
02806-3733
US

V. Phone/Fax

Practice location:
  • Phone: 401-558-8144
  • Fax:
Mailing address:
  • Phone: 401-558-8144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN51242
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: