Individual
DERRICK VICTORINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
5840 POST RD, EAST GREENWICH, RI 02818-2140
(401) 398-7933
(401) 329-0001
Mailing address
14 KANE ST, NEW BEDFORD, MA 02740-3124
(774) 305-0538
(774) 305-0538
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN05222
RI
Other
Enumeration date
06/20/2026
Last updated
06/20/2026
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