Individual
CAASI BAIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
41 SANDERSON RD, SUITE 201, SMITHFIELD, RI 02917-2602
(401) 949-0300
(401) 349-3387
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN00619
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-0483739
TAX ID #
RI
05
—
1629456371
—
RI
01
—
709004048
MEDICARE GROUP PTAN
RI
Enumeration date
05/14/2015
Last updated
04/02/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us