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Individual

DEBORAH BACANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1122
Mailing address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1122

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN00975
RI
363LN0000X
Neonatal Nurse Practitioner
APRN00975
RI
363LP0200X
Pediatric Nurse Practitioner
NPP37369
RI

Other

Enumeration date
02/06/2009
Last updated
07/23/2025
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