Individual
MICHELE CERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
593 EDDY STREET, DAVOL 129, PROVIDENCE, RI 02903-4923
(401) 444-4933
(401) 444-5090
Mailing address
ONE VIRGINIA AVENUE, SUITE 201, PROVIDENCE, RI 02905
(401) 490-0916
(401) 490-0979
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA29003
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001803
BLUE SHIELD PROVIDER #
RI
01
—
2000152
UNITED PROVIDER NUMBER
RI
Enumeration date
05/01/2006
Last updated
10/31/2013
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