Individual
ANTHONY S MANSOLILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6365
Mailing address
405 WOODHAVEN CT, CRANSTON, RI 02920-2958
(401) 699-1790
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN10020475
MA
Other
Enumeration date
09/27/2025
Last updated
10/18/2025
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