| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHARLOTTE CRIDER | 1063152916 | 2022-06-19 |
Charlotte Crider is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1063152916. Registration indicates Charlotte Crider is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Adult/Geriatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Charlotte Crider |
| Practice Office Address | 111 BREWSTER ST PAWTUCKET, RI US |
| Practice Office Telephone | 4017377000 |
| Mailing Address | 455 TOLL GATE RD WARWICK, RI 028862759 US |
| Business Telephone | 4017377000 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | LP05761
RI |