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Individual

JOHN R. DUFRESNE

Active
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Individual

JOHN R. DUFRESNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
N.P.

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NPP37176
RI
363LF0000X
Family Nurse Practitioner
Primary
NPP37176
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24007-5
BLUECROSS BLUESHIELD
RI
01
409038
BLUE CHIP
RI
05
7057318
RI
01
P00217750
RAILROAD
Enumeration date
02/22/2006
Last updated
11/29/2018
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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