Individual
AMANDA DESENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 KENYON AVE, SOUTH KINGSTOWN, RI 02879-4216
(401) 782-8000
Mailing address
1945 S WOODSTOCK ST, PHILADELPHIA, PA 19145-2829
(401) 527-2170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN02643
RI
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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