Individual
DILENNYS MERCEDES PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
712 BROAD ST, PROVIDENCE, RI 02907-1465
(401) 233-5060
Mailing address
48 GLOUCESTER ST, PROVIDENCE, RI 02908-1408
(401) 749-6844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN290002
GA
363LF0000X
Family Nurse Practitioner
Primary
APRN02759
RI
Other
Enumeration date
10/08/2019
Last updated
10/04/2023
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