Individual
DEZARAE THEREZE ROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 JOHNSON BLVD, COVENTRY, RI 02816-6019
(401) 447-6723
Mailing address
36 JOHNSON BLVD, COVENTRY, RI 02816-6019
(401) 447-6723
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN62416
RI
363LF0000X
Family Nurse Practitioner
Primary
APRN03691
RI
Other
Enumeration date
11/17/2021
Last updated
07/06/2023
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