Individual
BONITA IRENE DEMELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP (PMHNP)
Contact information
Practice address
17 ADELPHI AVE, PROVIDENCE, RI 02906-4119
(866) 708-1240
Mailing address
35 ANTHONY RD, FOSTER, RI 02825-1403
(401) 632-6514
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN03885
RI
Other
Enumeration date
12/19/2023
Last updated
05/04/2026
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