Individual
LYNDSAY DEMATTEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGPCNP-C
Contact information
Practice address
345 BLACKSTONE BLVD, 1ST FLOOR WELD BLDG, PROVIDENCE, RI 02906-4800
(401) 455-6402
(401) 455-6405
Mailing address
455 TOLL GATE RD, PRC AND CREDENTIAILNG, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
153756
CT
363LG0600X
Gerontology Nurse Practitioner
AG06200113
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN02654
RI
Other
Enumeration date
04/08/2020
Last updated
04/22/2026
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