| Eccentric Minds Health And Wellness Pllc | |
|
166 Valley St Bldg 6m Providence RI 02909-2400 | |
| (401) 682-7382 | |
| (401) 210-3750 |
| Full Name | Eccentric Minds Health And Wellness Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 166 Valley St Bldg 6m, Providence, Rhode Island |
| Authorized Official Name and Position | Nadia Dotrice Horton (OWNER) |
| Authorized Official Contact | 7573330175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eccentric Minds Health And Wellness Pllc 735 Thimble Shoals Blvd Ste 130 Newport News VA 23606-4428 Ph: (757) 333-0175 | Eccentric Minds Health And Wellness Pllc 166 Valley St Bldg 6m Providence RI 02909-2400 Ph: (401) 682-7382 |
| NPI Number | 1639821572 |
|---|---|
| Provider Enumeration Date | 01/21/2022 |
| Last Update Date | 05/06/2025 |
| Certification Date | 05/06/2025 |
| Medicare PECOS PAC ID | 0143607127 |
|---|---|
| Medicare Enrollment ID | O20220512001140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639821572 | NPI | - | NPPES |
| Provider Name | Nadia D Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114473816 PECOS PAC ID: 2466736152 Enrollment ID: I20170223002318 |
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