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Koren Carbuccia — NPI 1699385831, Pawtucket, RI | NPI Central

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NPI 1699385831

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Koren Carbuccia

NPI 1699385831 · Community Health Worker · Pawtucket, RI

Provider details

NPI number: 1699385831
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Female
Sole proprietor: Yes
License: 200800 (RI)

Specialties & taxonomies

Community Health WorkerPrimary172V00000XLicense 200800
Other Service Providers
Peer Specialist175T00000XLicense 200800 (RI)
Other Service Providers
Doula374J00000X
Nursing Service Related Providers

Practice location

25 Maple St

Pawtucket, RI 02860-2104

Phone: (401) 290-8076

Approximate (ZIP-level) locationGet directions

More RI providers

Mailing address

25 Maple St

Pawtucket, RI 02860-2104

Registry dates

Enumerated: 2020-08-03
Last updated: 2022-09-13
Certified: 2022-09-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.