Healthcare Provider Details

I. General information

NPI: 1902789555
Provider Name (Legal Business Name): MEREWELL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 DORRANCE STREET SUITE 700 - #527
PROVIDENCE RI
02903
US

IV. Provider business mailing address

10 DORRANCE ST STE 700
PROVIDENCE RI
02903-2014
US

V. Phone/Fax

Practice location:
  • Phone: 401-965-5527
  • Fax:
Mailing address:
  • Phone:
  • Fax: 855-401-1593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. MEREDITH CHHAY
Title or Position: FAMILY NURSE PRACTITIONER
Credential: APRN, FNP-C
Phone: 401-965-5527