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NPI Code Detail

MEDICARE: DOREEN DONNELLY NP

MEDICARE: DOREEN DONNELLY NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN01267RI
2363LP0200XPediatric Nurse PractitionerNPP32286RI

General Provider Information

NPI Number : 1467532168
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOREEN DONNELLY NP
Provider Business Mailing Address
First Line : 6 JOHN H CHAFEE BLVD
Second Line :
City : NEWPORT
State : RI
Zip : 02840-1034
Country : US
Telephone Number : 401-848-2130
Fax Number : 401-847-4245
Provider Business Practice Location Address
First Line : 6 JOHN H CHAFEE BLVD
Second Line :
City : NEWPORT
State : RI
Zip : 02840-1034
Country : US
Telephone Number : 401-848-2160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 03/03/2026

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