Provider Demographics
NPI:1316378938
Name:COUTURIER, THOMAS A (NP)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:A
Last Name:COUTURIER
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1630 MINERAL SPRING AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-4043
Mailing Address - Country:US
Mailing Address - Phone:401-438-1010
Mailing Address - Fax:401-354-4760
Practice Address - Street 1:1630 MINERAL SPRING AVE STE 2
Practice Address - Street 2:
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-4043
Practice Address - Country:US
Practice Address - Phone:401-438-1010
Practice Address - Fax:401-354-4760
Is Sole Proprietor?:No
Enumeration Date:2013-12-07
Last Update Date:2025-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN02491363LF0000X
RIETL02458363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIETL02458Medicaid
CA95000019Medicaid