Individual
SAMANTHA DESSERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
305 SHIPYARD ST, PROVIDENCE, RI 02905-5212
(401) 598-1151
(401) 598-4673
Mailing address
8 ABBOTT PARK PL, PROVIDENCE, RI 02903-3775
(401) 598-1104
Taxonomy
Speciality
Code
Description
License number
State
363LS0200X
School Nurse Practitioner
Primary
APRN03841
RI
Other
Enumeration date
08/24/2022
Last updated
10/31/2023
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