Individual
MICHELLE M MICELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY STREET, APC 4, PROVIDENCE, RI 02903
(401) 444-4700
(401) 444-6681
Mailing address
PO BOX 16149, RUMFORD, RI 02916-0697
(401) 453-9625
(401) 435-7069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN01266
RI
363LF0000X
Family Nurse Practitioner
APRN01266
RI
363LF0000X
Family Nurse Practitioner
NPP37705
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPP37705
LICENSE NUMBER
RI
Enumeration date
08/21/2012
Last updated
03/19/2025
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