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Individual

IRENE DEMATTEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, PCNS, RN, BC

Contact information

Practice address
300 CENTERVILLE RD SUITE 101 WEST, WARWICK, RI 02886-0201
(401) 480-9820
(401) 842-0360
Mailing address
300 CENTERVILLE RD STE 101, WARWICK, RI 02886-0200
(401) 480-9820
(401) 842-0360

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PPNS00003
RI
364S00000X
Clinical Nurse Specialist
Primary
APRN00188
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
RI
Enumeration date
05/22/2006
Last updated
09/18/2025
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