Individual
JAMES ANTHONY MASTROSTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
50 MEMORIAL BLVD, NEWPORT, RI 02840-3636
(401) 606-4510
(401) 619-4784
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1047330
RI
363LF0000X
Family Nurse Practitioner
Primary
APRN02825
RI
Other
Enumeration date
09/20/2021
Last updated
12/15/2021
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