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Individual

RITA NENONEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903-4923
(401) 854-2504
(401) 854-2519
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519

Taxonomy

Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
MD05716
RI
208000000X
Pediatrics Physician
Primary
MD05716
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007008106
MEDICARE - TYPE UNSPECIFI
RI
01
04/15/2009
UNITED HEALTH CARE
RI
01
10/01/2008
BCBS
RI
01
11/12/2009
NHPRI
RI
01
12/29/2008
TUFTS HEALTH PLAN
MA
01
1215047618
NPI
RI
05
3206211
MA
05
7002203
RI
01
939025129
RI MEDICARE GROUP NUMBER
RI
Enumeration date
08/30/2006
Last updated
09/18/2013
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