OrganizationActive
University Pediatrics Dba Children'S Medical Group
NPI 1902292899 · Pediatric Nurse Practitioner · Providence, RI
Provider details
- NPI number
- 1902292899
- Entity type
- Organization
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Charles Wheeler, Pediatric Nurse Practioner(401) 633-1100
- License
- APRN00401 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
100 Highland Ave
Suite 201
Providence, RI 02906-2740
Phone: (401) 633-1100
Fax: (401) 633-0047
Approximate (ZIP-level) locationGet directions
Mailing address
100 Highland Ave
Providence, RI 02906-2740
Registry dates
- Enumerated
- 2015-04-08
- Last updated
- 2015-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.