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Individual

BIANCA SIRAVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
134 SAGAMORE RD, CRANSTON, RI 02920-4600
(202) 431-2769
Mailing address
134 SAGAMORE RD, CRANSTON, RI 02920-4600
(202) 431-2769

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
APRN04139
RI
367A00000X
Advanced Practice Midwife
235970
CA

Other

Enumeration date
09/26/2018
Last updated
10/11/2024
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