Individual
SUSAN BERARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
21 PEACE ST, PROVIDENCE, RI 02907-1510
(401) 272-3018
(401) 272-1099
Mailing address
21 PEACE ST, PROVIDENCE, RI 02907-1510
(401) 272-3018
(401) 272-1099
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN51326
RI
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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