Individual
CHANDNIKUMARI NITINKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
375 WAMPANOAG TRL, RIVERSIDE, RI 02915-2232
(401) 649-4090
(401) 649-4091
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN2320883
MA
207Q00000X
Family Medicine Physician
RN2320883
MA
363L00000X
Nurse Practitioner
Primary
APRN03494
RI
363LF0000X
Family Nurse Practitioner
APRN03494
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568089860
—
RI
Enumeration date
07/02/2020
Last updated
03/05/2026
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