Individual
JILL MORETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCNS
Contact information
Practice address
70 KENYON AVE, SUITE 326, WAKEFIELD, RI 02879-4239
(401) 788-1277
(401) 788-1514
Mailing address
PO BOX 229, WAKEFIELD, RI 02880-0229
(401) 788-3337
(401) 788-3939
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
PPNS00031
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-0468084
UNITED HEALTH PLANS
RI
01
—
30553-6
BLUE CROSS & BLUE SHIELD
RI
01
—
406676
COORDINATED HEALTH PLANS
RI
01
—
P00302348
RAILROAD MEDICARE
RI
Enumeration date
06/24/2006
Last updated
12/14/2015
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