Individual
MRS. SUSAN M BORDONARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DCNP
Contact information
Practice address
102 VALLEY RD, MIDDLETOWN, RI 02842-5237
(401) 239-1800
(401) 239-1801
Mailing address
102 VALLEY RD, MIDDLETOWN, RI 02842-5237
(401) 239-1800
(401) 239-1801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPP34886
RI
364SA2200X
Adult Health Clinical Nurse Specialist
CAPRN00998
RI
Other
Enumeration date
09/14/2006
Last updated
01/30/2020
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