Healthcare Provider Details

I. General information

NPI: 1467749408
Provider Name (Legal Business Name): LORIE J CUTTING FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2011
Last Update Date: 01/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 BARNETT LN
WEST GREENWICH RI
02817-2151
US

IV. Provider business mailing address

PO BOX 321
WAKEFIELD RI
02880-0321
US

V. Phone/Fax

Practice location:
  • Phone: 401-489-5927
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNPP37632
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP3133482
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: