Individual
MRS. MICHAELA PROCACCINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
5 DEER RUN DR, COVENTRY, RI 02816-8523
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN00730
RI
363LP0200X
Pediatric Nurse Practitioner
RN53193
RI
Other
Enumeration date
07/02/2015
Last updated
03/17/2022
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