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Individual

EVELYN ASANTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
486 SILVER SPRING ST, PROVIDENCE, RI 02904-1556
(401) 454-0690
(401) 454-4281
Mailing address
486 SILVER SPRING ST, PROVIDENCE, RI 02904-1556
(401) 454-0690
(401) 454-4281

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP36927
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29913-0
BCBS OF RI
RI
01
412888
BLUE CHIP
RI
05
7058016
RI
01
709004044
MEDICARE GROUP
RI
Enumeration date
09/21/2005
Last updated
07/08/2007
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