Individual
BEVERLY CASINELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
765 ALLENS AVE, PROVIDENCE, RI 02905-5443
(401) 606-4150
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN02214
RI
Other
Enumeration date
11/26/2019
Last updated
01/30/2020
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