Individual
CHERYL L NIMMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
593 EDDY STREET, DAVOL 129, PROVIDENCE, RI 02903-4923
(401) 444-4933
(401) 444-5083
Mailing address
245 CHAPMAN STREET, SUITE 105, PROVIDENCE, RI 02905-4507
(401) 490-0916
(401) 490-0979
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA17554
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
318040
BLUE CROSS
RI
01
—
413834
BLUE CHIP
RI
Enumeration date
12/08/2006
Last updated
11/14/2012
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