Individual
AMY F RIENDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
245727
MA
363L00000X
Nurse Practitioner
Primary
APRN00314
RI
363L00000X
Nurse Practitioner
NPP37219
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001631101
RI MEDICARE
RI
01
—
06-10-2010
NHPRI
RI
01
—
07262010
UNITED HEALTHCARE
RI
01
—
07302010
BCBSRI
RI
05
—
110081982A
—
MA
01
—
939025129
RI MEDICARE GROUP
RI
05
—
AR78556
—
RI
Enumeration date
11/23/2005
Last updated
02/16/2018
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