MEDICARE: ANGELICA MUSCATELLI

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
1	363LF0000X	Family Nurse Practitioner	APRN02559	RI

General Provider Information

NPI Number	:	1790370146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELICA MUSCATELLI

Provider Business Mailing Address
First Line	:	3 ROBINS WAY
Second Line	:
City	:	NORTH PROVIDENCE
State	:	RI
Zip	:	02904-3806
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	171 SERVICE AVE
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-1014
Country	:	US
Telephone Number	:	401-767-4100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2021
Last Update Date	:	03/08/2021

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Directions to “ ANGELICA MUSCATELLI ” Practice Location

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