Individual
ANDREW VISCONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
765 ALLENS AVE, PROVIDENCE, RI 02905-5443
(401) 444-5418
Mailing address
22 SUMMER ST APT 2, WEST ROXBURY, MA 02132-4428
(781) 626-2756
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN02492
RI
363LF0000X
Family Nurse Practitioner
RN2302181
MA
Other
Enumeration date
09/01/2020
Last updated
12/30/2020
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