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MELISSA ELAINE DIVOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
19 FRIENDSHIP ST STE 150-160, NEWPORT, RI 02840-2272
(401) 845-3800
(401) 845-1075
Mailing address
19 FRIENDSHIP ST STE 150-160, NEWPORT, RI 02840-2272
(401) 845-3800
(401) 845-1075

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
RT10429
MA
227900000X
Registered Respiratory Therapist
TH2000
ME
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN03882
RI

Other

Enumeration date
02/20/2013
Last updated
09/12/2024
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