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Individual

DIANE MARIE NADEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN CDOE

Contact information

Practice address
2 MAXSON HILL RD, ASHAWAY, RI 02804
(401) 287-1153
Mailing address
2 MAXSON HILL RD, ASHAWAY, RI 02804
(401) 287-1153

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
177864
CT
163W00000X
Registered Nurse
20280
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
177864
RN LICENSE
CT
01
20280
RN LICENSE
RI
Enumeration date
07/22/2022
Last updated
07/22/2022
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