Individual
SAMANTHA SACCOCCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
455 TOLLGATE RD, ASP BLDG, WARWICK, RI 02886-0288
(401) 681-4996
(401) 921-6569
Mailing address
455 TOLLGATE RD, PROFESSIONAL REVENUE CYCLE & CREDENTIALING, WARWICK, RI 02886-2759
(401) 273-0641
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2304854
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN02716
RI
Other
Enumeration date
08/08/2018
Last updated
08/15/2024
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