Individual
EMANUELA DONATA ANTONELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY STREET, APC 6, PROVIDENCE, RI 02903
(401) 793-9166
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10794
MN
363LF0000X
Family Nurse Practitioner
Primary
APRN04113
RI
Other
Enumeration date
09/19/2023
Last updated
08/14/2024
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