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Individual

AMANDA MONTELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
41 SANDERSON RD STE 201, SMITHFIELD, RI 02917-2603
(401) 421-4000
Mailing address
41 SANDERSON RD STE 201, SMITHFIELD, RI 02917-2603
(401) 949-0300
(401) 349-3387

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN03273
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APRN03273
LICENSE
RI
Enumeration date
10/03/2022
Last updated
10/30/2023
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