Individual
CARLY DANIELLE DIBIASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 DUDLEY ST, PROVIDENCE, RI 02905-3236
(401) 444-5891
Mailing address
1085 N MAIN ST, PROVIDENCE, RI 02904-5719
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AG03210008
RI
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN02653
RI
Other
Enumeration date
09/16/2020
Last updated
01/20/2023
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