Individual
AMANDA TIBURCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 AIRPORT RD, WARWICK, RI 02889-1001
(401) 606-2520
Mailing address
17 AIRPORT RD, WARWICK, RI 02889-1001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN55482
RI
363LF0000X
Family Nurse Practitioner
Primary
APRN03584
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/26/2022
Last updated
05/08/2023
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