Individual
DANIEL NEILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN RN AGACNP-BC
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-3985
(401) 444-3986
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN00868
RI
363LA2100X
Acute Care Nurse Practitioner
RN265307
MA
Other
Enumeration date
10/17/2014
Last updated
08/02/2018
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