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Individual

JACQUELYN M ARIETA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1 COMMERCE ST, ANCHOR MEDICAL ASSOCIATES PEDIATRIC DEPARTMENT, LINCOLN, RI 02865-1168
(401) 793-8484
(401) 793-8481
Mailing address
1 COMMERCE ST, ANCHOR MEDICAL ASSOCIATES PEDIATRIC DEPARTMENT, LINCOLN, RI 02865-1168
(401) 793-8484
(401) 793-8481

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
152166
MA
363LF0000X
Family Nurse Practitioner
Primary
APRN00817
RI
363LF0000X
Family Nurse Practitioner
CAPRN00817
RI
363LF0000X
Family Nurse Practitioner
RN25654
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0037810
NEIGHBORHOOD HEALTH PLAN
MA
05
0799785
MA
01
31351-3
BCBSRI
RI
01
413415
BCBSRIBLUCHIP
RI
01
78089
CHILDRENS MEDICAL SECURIT
MA
01
NP2548
BCBSMA
MA
Enumeration date
10/04/2005
Last updated
10/19/2020
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