Individual
KIMBERLY A IANNOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
950 WARREN AVE STE 201, EAST PROVIDENCE, RI 02914
(401) 606-1004
Mailing address
261 TILLINGHAST RD, EAST GREENWICH, RI 02818-1507
(401) 225-7292
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN01465
RI
Other
Enumeration date
09/23/2016
Last updated
05/21/2018
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