Individual
MARISA DASILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1 RANDALL SQ, PROVIDENCE, RI 02904-2709
(401) 274-6339
(401) 453-6290
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2358392
MA
363LF0000X
Family Nurse Practitioner
Primary
APRN04088
RI
363LF0000X
Family Nurse Practitioner
RN2358392
MA
Other
Enumeration date
03/31/2023
Last updated
09/13/2024
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