Provider Demographics
NPI:1518759794
Name:MINDBRIDGE WELLNESS
Entity type:Organization
Organization Name:MINDBRIDGE WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:EURIDICE
Authorized Official - Middle Name:
Authorized Official - Last Name:NOBRE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:401-240-4796
Mailing Address - Street 1:1276 BALD HILL RD UNIT 15 #1038
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886
Mailing Address - Country:US
Mailing Address - Phone:401-240-4796
Mailing Address - Fax:401-235-4088
Practice Address - Street 1:66 MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-3651
Practice Address - Country:US
Practice Address - Phone:401-240-4796
Practice Address - Fax:401-235-4088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty