Individual
ELISE A BORDIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 EDDY ST, PROVIDENCE, RI 02905
(401) 533-9100
Mailing address
1000 EDDY ST, PROVIDENCE, RI 02905
(401) 533-9100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN38732
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092
EI NHPRC
RI
01
—
292177
EI BLUE CROSS
RI
01
—
412296
EI BLUE CHIP
RI
01
—
6400144
EI UHP
RI
05
—
ES01788
—
RI
Enumeration date
07/15/2006
Last updated
07/09/2007
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