MEDICARE: KAREN GOLISH RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	RN29078	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982735924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN GOLISH RN

Provider Business Mailing Address
First Line	:	7211 POST RD
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-3243
Country	:	US
Telephone Number	:	401-294-1195
Fax Number	:	401-295-7139

Provider Business Practice Location Address
First Line	:	7211 POST RD
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-3243
Country	:	US
Telephone Number	:	401-294-1195
Fax Number	:	401-295-7139

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	07/08/2007

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Directions to “ KAREN GOLISH RN” Practice Location

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