Individual
BRYAN J. RODARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
40 CANDACE ST, PROVIDENCE, RI 02908-3747
(401) 444-0550
(401) 444-0425
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
922656
TX
363LF0000X
Family Nurse Practitioner
1098271
TX
363LF0000X
Family Nurse Practitioner
Primary
APRN04962
RI
Other
Enumeration date
03/19/2022
Last updated
03/16/2026
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