Individual
MICHELLE LEVEILLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2894
(401) 793-2500
Mailing address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2894
(401) 714-7094
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN01945
RI
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN01945
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN01945
STATE LICENSE NUMBER
RI
01
—
CAPRN01945
STATE CONTROL SUBSTANCE LICENSE NUMBER
RI
Enumeration date
10/30/2018
Last updated
09/12/2025
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