Individual
STEPHANIE RENEE BARTOLOMUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
127 JOHNNY CAKE HILL RD, MIDDLETOWN, RI 02842-5674
(401) 846-1213
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN41489
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SB53694
—
RI
Enumeration date
08/22/2006
Last updated
12/06/2018
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