Healthcare Provider Details

I. General information

NPI: 1174487961
Provider Name (Legal Business Name): NOOR HEALTHCARE PARTNERS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 MOUNT PLEASANT AVE
PROVIDENCE RI
02908-3836
US

IV. Provider business mailing address

315 MOUNT PLEASANT AVE
PROVIDENCE RI
02908-3836
US

V. Phone/Fax

Practice location:
  • Phone: 401-632-5067
  • Fax: 401-632-5067
Mailing address:
  • Phone: 401-632-5067
  • Fax: 401-280-1014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. SOUAD CHETEYAN
Title or Position: FNP-BC
Credential: APRN
Phone: 401-632-5067