Individual
DANIELLE MARTHA TREMBLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
830 CHALKSTONE AVENUE, D1071, PROVIDENCE, RI 02908-4799
(401) 273-7100
Mailing address
153 LAKESHORE DRIVE, BLACKSTONE, MA 01504
(617) 549-7763
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN277542
MA
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN67636
RI
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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