Provider Demographics
NPI:1689492803
Name:FIGUEIREDO, CRISOLITA
Entity type:Individual
Prefix:
First Name:CRISOLITA
Middle Name:
Last Name:FIGUEIREDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 MONTICELLO RD # POX3946
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-7700
Mailing Address - Country:US
Mailing Address - Phone:401-332-0157
Mailing Address - Fax:
Practice Address - Street 1:100 EAST AVE
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-4005
Practice Address - Country:US
Practice Address - Phone:401-332-0157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker