Individual
NICOLE DEANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMH-NP
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6356
Mailing address
38 CAPTAIN JOHN JACOBS RD APT 202, EAST PROVIDENCE, RI 02914-5383
(401) 450-7384
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN69971
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN04769
RI
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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