Individual
MADELYNN ORELLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 CORLISS ST, PROVIDENCE, RI 02904-2602
(401) 419-5040
Mailing address
475 KILVERT ST, WARWICK, RI 02886-1379
(401) 406-9518
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN03157
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/26/2021
Last updated
10/03/2022
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