Individual
DERRYTH L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
55 JOHN A CUMMINGS WAY, WOONSOCKET, RI 02895-3247
(401) 235-7000
Mailing address
77 NAUSAUKET RD, WARWICK, RI 02886-7507
(401) 921-1606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN38206
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA42457
—
RI
Enumeration date
07/13/2006
Last updated
07/08/2007
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