Individual
TANIA RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
61 CANTON ST, PROVIDENCE, RI 02908-4501
(401) 456-3000
Mailing address
1239 HARTFORD AVE, JOHNSTON, RI 02919-7137
(401) 272-7660
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN66679
RI
Other
Enumeration date
10/20/2025
Last updated
02/05/2026
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