| Crystal Lise Souza, FNP-C | |
|
450 Clinton St, Woonsocket, RI 02895-3207 | |
| (401) 767-4100 | |
| Not Available |
| Full Name | Crystal Lise Souza |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 450 Clinton St, Woonsocket, Rhode Island |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467826693 | NPI | - | NPPES |
| 1467826693 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10730 (Connecticut) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN00778 (Rhode Island) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thundermist Health Center | 1557270477 | 161 |
| Entity Name | Windham Community Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023191467 PECOS PAC ID: 2961309059 Enrollment ID: O20031217000231 |
| Entity Name | The William W Backus Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739 |
| Entity Name | Hartford Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Lise Souza, FNP-C 450 Clinton St, Woonsocket, RI 02895-3207 Ph: (401) 767-4100 | Crystal Lise Souza, FNP-C 450 Clinton St, Woonsocket, RI 02895-3207 Ph: (401) 767-4100 |
Ms. Joanne Rose Ruggeri, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: One, Cvs Drive, Woonsocket, RI 02895 Phone: 866-389-2727 | |
Ms. Karen Wilmot-chin, N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Diamond Hill Rd Ste 18, Woonsocket, RI 02895 Phone: 401-470-7116 | |
Chanta Pou, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 68 Cumberland St, Ste 102, Woonsocket, RI 02895 Phone: 401-356-1940 | |
Nancy Elizabeth Castro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 Clinton St, Woonsocket, RI 02895 Phone: 401-767-4100 Fax: 401-235-6899 | |
Angela Patterson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Cvs Dr, Woonsocket, RI 02895 Phone: 617-694-7764 Fax: 401-652-9356 | |
Margaret Janci, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Cummings Way, Woonsocket, RI 02895 Phone: 401-235-7000 | |
Mrs. Mercedita Villar Kimbrough, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Cvs Dr, Woonsocket, RI 02895 Phone: 866-389-2727 |