Individual
MARIANELA DELOSSANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
900 WARREN AVE STE 400, EAST PROVIDENCE, RI 02914-1430
(401) 331-1221
(401) 751-8003
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APRN05169
RI
363L00000X
Nurse Practitioner
Primary
APRN05169
RI
Other
Enumeration date
04/28/2026
Last updated
06/15/2026
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