Individual
DIANE BIFULCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
86 FOX RIDGE DR, CRANSTON, RI 02921-2213
(401) 944-7473
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
19453
RI
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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