Individual
RYAN MEDEIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
360 DUNCAN DR, PROVIDENCE, RI 02906-7003
(401) 714-8290
Mailing address
30 PAULETTE DR, COVENTRY, RI 02816-7758
(401) 714-8290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN79185
RI
Other
Enumeration date
07/02/2024
Last updated
05/06/2026
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